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目的 :观察静脉应用地尔硫芏卓 控制老年术后快速心律失常的疗效及其安全性。方法 :6 8例老年术后快速心律失常患者被随机等分为地尔硫芏卓 组和毛花甙丙组 ,观察用药后心室率和血压的变化。结果 :地尔硫芏卓 组对控制老年术后快速心律失常有效率 94 .6 % ,毛花甙丙组有效率73.7% ,P <0 .0 1,地尔硫芏卓 组最大效应时间为 7.5± 2 .6min ,毛花甙丙组为 31.8± 7.8min。两组均无心功能恶化或低血压出现。结论 :地尔硫芏卓 能有效、安全控制老年术后快速心室率
Objective: To observe the efficacy and safety of intravenous diltiazem in controlling elderly patients with tachyarrhythmia. Methods: Sixty-eight elderly patients with tachyarrhythmia were randomly divided into diltiazem group and silymarin group, and the changes of ventricular rate and blood pressure were observed. Results: The Diltiazem group was effective in controlling tachyarrhythmia after geriatric surgery by 94.6%, and the effective rate of glycoside C group was 73.7% (P <0.01). The maximum effect time of diltiazem group was 7.5 ± 2 .6min, wort glycosides group C was 31.8 ± 7.8min. No worsening of cardiac function or hypotension occurred in both groups. Conclusion: Diltiazem can effectively and safely control the rapid ventricular rate after geriatric surgery