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目的 比较静脉注射地尔硫 (合贝爽 )、毛花甙C(西地兰 )控制心房颤动并快速心室率的即时疗效及安全性。方法 84例心房颤动伴快速心室率患者随机分成 2组 ,分别静脉注射合贝爽或西地兰。结果 合贝爽、西地兰 2组控制心房颤动心室率总有效率分别为 91 1%、76 3 % ;心室率平均下降幅度分别为 3 2 %、2 6% ;平均起效时间为 ( 5 9± 3 2 )min、( 2 4± 16 4)min ,合贝爽组有 2例出现一过性低血压 ,可自行恢复。结论 静脉注射地尔硫 10mg后继以 5 10mg/h维持静脉滴注 ,对房颤伴快速心室率的控制安全、迅速、有效
Objective To compare the immediate efficacy and safety of intravenous diltiazem (BHC) and silymarin C (cedilanid) in the control of atrial fibrillation and rapid ventricular rate. Methods Eighty-four patients with atrial fibrillation and rapid ventricular rate were randomly divided into two groups, intravenous injection of bupolazepine or cedilanid respectively. Results The results showed that the total effective rate of ventricular rate control in atrial fibrillation group was 91 1% and 76 3%, respectively. The mean ventricular rate of ventricular rate was 32% and 26%, respectively. The mean onset time was (5 9 ± 32 min) and (24 ± 16 4) min respectively. Two cases of transient hypotension occurred in combination group and recovered spontaneously. Conclusion intravenous diltiazem 10mg followed by 5 10mg / h to maintain intravenous infusion of atrial fibrillation with rapid ventricular rate control safe, rapid and effective