北京地区中、西医院急性心肌梗死住院患者临床特征及治疗状况对比分析

目的 调查分析跨世纪时期北京地区中医、西医三级医院急性心肌梗死（AMI）住院患者临床特征及治疗状况。方法 采用统一调查表，对北京地区4家三级甲等中医医院及6家三级甲等西医医院2000年1月至次年3月的1142例AMI进行登记，ACCESS建立数据库，SPSS10．0统计软件进行描述性分析，以我国2001年《急性心肌梗死诊断和治疗指南》（《指南》）为评价依据，描述AMI的诊疗现状。结果 中医医院患者女性比例高、年龄大、伴随疾病多、并发症多、病情重、再灌注治疗机会少、病死率高，北京地区AMI治疗距《指南》的要求尚有一定差距，中药治疗缺乏必要的规范及相关的循证医学证据。结论 中医医院AMI患者具有独立的临床特征，规范地遵循《指南》从事医疗实践是当务之急，深入探讨中医药在AMI治疗治疗中的地位．是我们面临的重要课题。

Comparison and analysis of clinical characteristics and therapeutic status of the patients with AMI between traditional Chinese medicine and western medicine third class hospital in Beijing area

Objective To investigate clinical characters and therapy status of the patients with AMI, in traditional Chinese medicine and western medicine third class hospitals in Beijing around fore- and-aft century. Methods Uniform questionnaire was used to register 1 142 cases of AMI, who came from 4 traditional Chinese medicine third class hospitals and 6 western medicine third class hospitals in Beijing from January ,2000 to March, 2001. Set up a database by ACESS program and analysed by SPSS10.0. Described the current situation and progression in diagnosis and therapy of AMI by the guideline of diagnosis and treatment of acute myocardial infarction. Results compare with western medicine hospitals, there are more female and aged patients in traditional Chinese medicine l lospital, these patients have much more complication and their disease situation is heavier, they have less chance to accept reperfusion therapy and have higher fatality ratio. Conclusion The patients in traditional Chinese medicine hospital have special clinical feature. What we need do immediately is to abide by guideline. That research what traditional Chinese medicine can do in the therapy of AMI .It is further to us.