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目的比较阵发性室上性心动过速(PSVT)三种治疗方法的疗效。方法对180例次阵发性室上性心动过速发作分别用机械刺激法、药物治疗、食管心房调搏(TEAP)终止其发作的成功率分析。结果机械刺激法、药物治疗、TEAP终止发作成功率依次为71.7%、77.8%及94.9%。三种方法终止发作成功率有显著性(P<0.05)差异。药物治疗中心律平、异搏定及胺碘酮的复律疗效依次是72.7%、80.0%和91.7%。结论从PSVT疗效看,TEAP成功率最高,其次为药物治疗,再次为机械刺激法。
Objective To compare the efficacy of three treatment methods of paroxysmal supraventricular tachycardia (PSVT). Methods 180 cases of paroxysmal supraventricular tachycardia were treated with mechanical stimulation, drug therapy, esophageal atrial pacing (TEAP) termination of the success rate analysis. Results The success rates of mechanical stimulation, drug treatment and termination of TEAP were 71.7%, 77.8% and 94.9%, respectively. Three methods termination of attack success rate was significant (P <0.05) difference. Pharmacotherapy center ropivacaine, verapamil and amiodarone cardioversion effect was 72.7%, 80.0% and 91.7%. Conclusion From the PSVT efficacy, TEAP highest success rate, followed by drug treatment, again for mechanical stimulation.