改进版Valsalva动作治疗室上性心动过速的效果①
胡冬平 吴春发
江西省新余钢铁集团有限公司中心医院急诊科
摘要：目的：探讨改良版Valsalva动作治疗室上性心动过速患者的临床效果。方法：选择60例室上性心动过速患者为研究对象，按照随机数字表法将其分为两组，每组30例。对照组采用标准Valsalva动作技术，实验组采用改进版Valsalva动作技术。比较两组针对室上性心动过速干预过程中的1次复律成功率、多次复律成功率和无效率；比较两组操作耗时、转复成功耗时及不良反应。结果：实验组1次复律成功率及总复律成功率均高于对照组，且无效率低于对照组（P＜0.05）;实验组操作耗时和转复成功耗时均短于对照组（P＜0.05）;实验组治疗过程中发生胸闷、胸痛、头痛和眩晕的总发生率低于对照组（P＜0.05）。结论：针对室上性心动过速实施改进版Valsalva动作，其复律成功率高、耗时短、不良反应少，值得临床推广。
关键词：Valsalva动作;室上性心动过速;复律成功率;转复成功耗时;
Effect of modified Valsalva maneuver on patients with supraventricular tachycardia①
HU Dongping②,WU Chunfa.(Emergency Department of Central Hospital of Xinyu Iron and Steel Group Co.,Ltd.,Xinyu 338000,China)
Abstract Objective: To investigate the clinical effect of modified Valsalva maneuver on patients with supraventricular tachycardia. Methods: 60 patients with supraventricular tachycardia were selected and randomized into two groups, each with 30 cases. The control group adopted the standard Valsalva maneuver technique, while the experimental group implemented the modified Valsalva maneuver technique. Then, the one-time cardioversion and multiple-time cardioversions success rate, the inefficiency, time for the operation and successful cardioversion, and adverse reactions in patients with supraventricular tachycardia were compared between the two groups. Results: The one time cardioversion success rate and total cardioversion success rate of the experimental group were higher than those of the control group, with lower inefficiency rate(P<0.05); the operation time and successful cardioversion time of the experimental group was shorter than that of the control group(P<0.05); and the total incidence of chest distress, chest pain, headache and vertigo of the experimental group was lower than that of the control group during the process of treatment(P<0.05). Conclusion: The modified Valsalva maneuver for patients with supraventricular tachycardia has high cardioversion success rate, and with short time and few adverse reactions, which is worthy of clinical promotion.
Keywords: Valsalva maneuver; supraventricular tachycardia; cardioversion success rate; time for success cardioversion
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