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123臭臭123金虫 (初入文坛)
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| 目的 本文通过对惠州某医院门急诊2015年6月到12月胺碘酮抗心律失常的使用情况进行调查和分析，了解医院门急诊胺碘酮抗心律失常的应用情况，为临床安全、有效、合理地使用胺碘酮提供参考。方法 统计惠州某医院2015年6月到12月份门急诊含胺碘酮处方，临床诊断为（含）心律失常的处方378份，对患者基本信息、用药指征、用法用量、药物联合应用进行分析和讨论。结果 在378份含胺碘酮的处方的临床诊断中，心房颤动患者最多，其次是心衰，而早搏、支气管炎或哮喘患者、尿毒症患者属于不合理用药。在胺碘酮用法用量中qd最多，其次是bid，最少的是qod，其中>60岁，qod、qd、bid多于其他年龄段；胺碘酮与其他西药的联合治疗中，常与地高辛、β受体阻滞剂、华法林联用，其中与地高辛联用最多；胺碘酮与中成药的联合治疗中，常与麝香保心丸、稳心颗粒、复方丹参滴丸联用，其中与麝香保心丸联用最多。结论 胺碘酮抗心律失常用药指征、用量、联合用药等方面基本合理。 |
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baoqiang133 
捐助贵宾 (小有名气)
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123臭臭123: 金币+100, 翻译EPI+1, ★★★很有帮助, 谢谢 2016-04-18 14:31:24
123臭臭123: 金币+100, 翻译EPI+1, ★★★很有帮助, 谢谢 2016-04-18 14:31:24
| Objective The paper aims to have a good understanding of the antiarrhythmic application of amiodarone in the outpatient emergency department and provide a reference for clinically safe, effective, and reasonable use of amiodarone by investigating and analyzing the use of amiodarone in treatment of arrhythmia in the outpatient emergency department at a hospital in Huizhou. Method 378 prescriptions containing amiodarone and arrhythmia were collected from the outpatient emergency department at a hospital in Huizhou between June 2015 and December 2015 to analyze and discuss the patients’ basic information, medication indications, dosage and administration, and combined application of drugs. Result Among the patients with diseases for which the 378 prescriptions containing amiodarone were dispensed, ones with atrial fibrillation had the most prescriptions, followed by ones with heart failure. Nevertheless, the prescriptions for the patients with premature beat, bronchitis, asthma, or uremia were unreasonable. In term of dosage and administration of amiodarone, qd had the highest usage frequency, followed by bid, leaving qod with the lowest usage frequency. It was used for patients >60 years and qod, qd, and bid largely for patients in other age groups. Amiodarone was often combined with other Western drugs such as digoxin, β receptor blocking agent, and warfarin. Digoxin was the most commonly used one in such combined treatment. Amiodarone was often combined with the Chinese patent medicines such as Shexiang Baoxin Pill, Wenxin Keli, Compound Danshen Dripping Pills. Shexiang Baoxin Pill was the most commonly used one in such combined treatment. Conclusion Antiarrhythmic application of amiodarone is considered to be rational in medication indications, dosages, combined medication, etc. |
2楼2016-04-16 18:54:37