摘要
目的探讨同步电复律治疗在院前急救现场突发室性心动过速伴血流动力学不稳定患者中的应用效果。方法选取2005年5月~2019年5月北京急救中心北区分中心的急救人员在院前急救第一现场突发室性心动过速伴血流动力学不稳定的患者共82例作为研究对象,按现场采取治疗方法的不同将患者分为药物组42例与电复律组40例。药物组给予常规药物治疗,电复律组给予同步电复律治疗。比较两组患者心脏复律效果、不良反应发生率、现场治疗时间。结果两组患者心脏复律成功率、不良反应总发生率比较,差异无统计学意义(P>0.05);但电复律组心脏复律耗时低于药物组,差异有统计学意义(P<0.05)。结论在院前急救现场,应用同步电复律治疗突发室性心动过速伴血流动力学不稳定的患者,治疗用时短,复律效果立竿见影,能迅速阻止病情恶化。
Objective To study the application effect of synchronous electric cardioversion in patients with sudden ventricular tachycardia with hemodynamic instability in the pre-hospital emergency scene.Methods A total of 82 patients with sudden ventricular tachycardia with hemodynamic instability at the first scene of pre-hospital emergency treatment by emergency personnel of North District Branch,Beijing Emergency Medical Center from May 2005 to May 2019 were selected as the research objects.According to the different treatment methods adopted on the scene,the patients were divided into the drug group(42 patients)and the electric cardioversion group(40 patients).The drug group was given conventional drug treatment,the electric cardioversion group was given synchronous electric cardioversion treatment.The effect of cardioversion,the incidence of adverse reactions and the time of on-site treatment were compared between the two groups.Results There were no statistically significant differences in the success rate of cardioversion and the total incidence of adverse reactions between the two groups(P>0.05).However,the time of cardioversion in the electric cardioversion group was lower than that in the drug group,and the difference was statistically significant(P<0.05).Conclusion In the pre-hospital emergency scene,synchronous electric cardioversion is used to treat patients with sudden ventricular tachycardia with hemodynamic instability.Treatment time is short,the effect of cardioversion is immediate,and it can quickly prevent the deterioration of the condition.
作者
陶金喆
TAO Jinzhe(North District Branch,Beijing Emergency Medical Center,Beijing100031,China)
出处
《中国医药导报》
CAS
2020年第14期65-68,共4页
China Medical Herald
基金
北京急救中心“135”科研培育计划项目(YN2019-06)。
关键词
院前
室性心动过速
同步电复律
心脏
Pre-hospital
Ventricular tachycardia
Synchronized electric cardioversion
Heart
