265例急性心肌梗死患者住院治疗状况分析

目的 了解近五年栾川县医院急性心肌梗死(AMI)患者的住院治疗状况.方法 调查栾川县医院2002～2006年出院诊断为AMI,住院时间>24 h患者的病史资料,调查各种西医治疗措施应用情况.结果 共调查了265例患者,早期再灌注治疗率为17.7%,均为溶栓治疗.适宜溶栓率为37.4%,适宜溶栓者中52.5%没有接受任何形式的早期再灌注治疗.β受体阻滞剂和血管紧张素转换酶抑制剂的适宜使用率分别为61.1%和70.9%,实际使用率分别为38.1%和42.6%,他汀类药物的使用率为37.7%,阿司匹林、低分子肝素、硝酸酯使用率分别为92.8%、69.8%、89.8%.结论 2002～2006年栾川县医院AMI患者治疗情况与2001年中华医学会心血管病学分会AMI诊断和治疗指南的要求存在明显差距.

A treatment analysis of 265 hospitalized patients with acute myocardial Infarction

Objective To investigate the treatment status of hospitalized patients with acute myocardial infarction (AMI) in Luanehuan county hospital. Methods The data of hospitalized patients with AMI discharged between January 2002 and December 2006 were retrospectively collected from medical records of Luanchuan county hospital. All patients with a diagnosis of AMI and a more than 24 hours hospitalization were included. We assessed the use of western medicine. Results A total of 265 patients were included. Reperfusian were per-formed in 17.7% of the patients, all for fibrinolytic therapy. 37.4% of the patients are suitable for fibrinolytic therapy ,52. 5% patients did not receive any reperfusion treatment. Among the patients,61.1% were eligible for beta blockers(BB) and 70. 9% for angiotensin converting enzyme inhibitors(ACEI), but only 38.1% were actu-ally treated with BB and 42. 6% with ACEI. 37.7% of the patients received statins. The utilization rates of aspi-rin, low-molecular-weight beparin, nitrates were 92.8%, 69.8%, 89.8% respectively. Conclusion There is a great gab between the therapy carried out in the hospital of luanchuan county in 2002-2006 and the Chinese Medical Association guidelines for AMI in 2001.