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目的探讨针刺和静脉注射胺碘酮对阵发性心房颤动(PAF)的临床疗效。方法 152例器质性心脏病阵发性心房颤动患者,针刺内关、神门穴,并首剂静脉注射150mg,继以1mg·min-1静脉泵入,维持6h。观察PAF转复情况,心率、QT间期变化及不良反应。结果 152例患者中,25例10min复律,占16.45%;110例5h后转复,占72.37%;2例10h后转复,占1.32%。复律成功137例,占90.13%。未转律者15例,占9.87%。用药期间,未见缓慢性心律失常、低血压、心衰加重及QT间期延长等,1例心率57次·min-1,占0.66%,无其他不良反应。结论针刺和静脉注射胺碘酮转复PAF安全有效。
Objective To investigate the clinical effects of acupuncture and intravenous amiodarone on paroxysmal atrial fibrillation (PAF). Methods A total of 152 patients with paroxysmal atrial fibrillation of organic heart disease were treated with acupuncture at Neiguan and Shenmen points, and the first dose of intravenous injection of 150mg was injected intravenously at 1mg · min-1 for 6 hours. PAF recovery observed heart rate, QT interval changes and adverse reactions. Results Among the 152 patients, 25 cases recurred at 10 minutes, accounting for 16.45%. 110 cases recovered after 5 hours, accounting for 72.37%. Two cases recovered after 10 hours, accounting for 1.32%. Cardioversion success 137 cases, accounting for 90.13%. 15 cases did not turn to the law, accounting for 9.87%. During the medication, no arrhythmia, hypotension, increased heart failure and QT prolongation were found. One patient had a heart rate of 57 times · min-1, accounting for 0.66%, with no other adverse reactions. Conclusions Acupuncture and intravenous amiodarone are safe and effective in the recovery of PAF.