瑞舒伐他汀联合胺碘酮及华法林治疗阵发性房颤的临床疗效

Clinical efficacy of rosuvastatin, amiodarone and warfarin in combination in treatment of paroxysmal atrial fibrillation

  • 摘要: 目的 分析阵发性房颤患者采用瑞舒伐他汀、胺碘酮及华法林联合应用的临床效果。 方法 选取80例阵发性房颤患者为研究对象,将其随机分为对照组和治疗组,每组40例。比较2组治疗前后左室射血分数、血清N-端脑钛前体水平。比较2组治疗前及治疗后3、6个月左心房内径变化,并计算治疗后窦性心律维持率。记录2组用药后不良反应发生情况。 结果 治疗后,治疗组左室射血分数高于对照组,血清N-端脑钛前体水平低于对照组,差异均有统计学意义(P<0.05); 治疗组治疗后3、6个月左心房内径大于对照组,差异有统计学意义(P<0.05)。2组窦性心律维持率比较,差异有统计学意义(P<0.05)。治疗组不良反应发生率为7.50%, 低于对照组的25.00%, 差异均有统计学意义(P<0.05)。 结论 联合应用瑞舒伐他汀、胺碘酮及华法林可以改善阵发性房颤患者的心功能,促进患者身体恢复。

     

    Abstract: Objective To analyze the clinical effect of rosuvastatin, amiodarone and warfarin in combination in the treatment of patients with paroxysmal atrial fibrillation. Methods A total of 80 patients with paroxysmal atrial fibrillation were selected and randomly divided into control group(n=40)and treatment group(n=40). The left ventricular ejection fraction and serum N-terminal cerebral titanium precursor levels were compared between the two groups before and after treatment. The changes of left atrial diameter before and 3, 6 months after treatment were compared between the two groups, and the maintenance rates of sinus rhythm after treatment of two groups were calculated. The occurrence of adverse reactions in two groups was recorded. Results After treatment, compared with the controlgroup, the left ventricular ejection fraction of the treatment group was significantly higher, the serum N-terminal brain titanium precursor level was significantly lower than that in the treatment group(P<0.05). Compared with the control group, the values of left atrial inner diameter at 3 and 6 months after treatment of the treatment group were significantly larger(P<0.05). The maintenance rate of sinus rhythm showed a significant difference in the two groups(P<0.05). The incidence of adverse reactions was 7.50%, which was significantly lower than 25.00% of the control group(P<0.05). Conclusion Rosuvastatin, amiodarone and warfarin in combination in the treatment of patients with paroxysmal atrial fibrillation can significantly improve their cardiac function and promote recovery.

     

/

返回文章
返回