中药早期干预对急性心肌梗塞远期预后的影响

探讨中药早期干预对急性心肌梗塞远期预后的影响。【方法】157例急性心肌梗塞患者按照住院期间是否接受辨证论治中药汤剂治疗分为中药治疗组(129例)和对照组(28例)两个队列,并对所有病例的年龄、性别、梗塞部位、并发症、既往相关病史等方面逐项统计,随访患者的生存情况及所有事件(死亡及其他重要心脑血管事件)发生情况。【结果】以死亡为终点事件,治疗组的生存曲线在观察期间均高于对照组,但差异无统计学意义(P=0．1166);以所有事件为终点,治疗组的生存曲线在观察期间任何时点也都高于对照组(P=0．048)。【结论】治疗组免于发生包括死亡在内的重大事件的概率在任何观察时点都比对照组高。

Effect of Early Treatment of Chinese Herbal Medicine on Long-term Prognosis of Acute Myocardial Infarction

[Objective] To explore the effect of early treatment of Chinese herbal medicine on the long-term prognosis of acute myocardial infarction (AMI) . [Methods] One hundred and fifty-seven AMI patients were divided into two groups according to the treatment during the hospitalization: 129 patients treated with Chinese herbal medicine and western medicine were in group A, and 28 patients treated with western medicine only were in group B. Statistical analysis of age, sex, infarction location, complications and medical history was made in all of the patients. A follow-up survey was made to investigate the subsistence of the patients and the incidences of all the events (including death and severe cardio-cerebrovascular events) . [Results] With the death as the end event, the survival graph of group A was higher than group B (P=0.1166); when with all the severe events as the end event, the survival graph of group A was still higher ( P=0.048) .[Conclusion] The probability of incidences of severe events including death in group A is lower than that in group B.