摘要
目的：了解近几年荣成市心肌梗死(MI)后的二级预防状况。方法：对荣成市3所二甲医院2000年1月1日～2001年12月31日和2003年1月1日～2004年12月31日住院确诊的MI病人,出院后3个月以上的有关情况分别于2002年3月、2005年3月进行了两次调查。结果：2002年共调查了247例病人,其中男性170人,占68.8％,年龄中位数为69岁,应用阿司匹林(ASA)、β-阻滞剂(BB)、血管紧张素转换酶抑制剂(ACEI)、他汀类降脂药(Statirts)的比率分别为78.1％、40.9％、47.7％、14.6％,总胆固醇达标率(指TC＜4.68mmol／L)为8.5％,吸烟率为46.5％(男性)。2005年共调查了318例病人,其中男性223人,占70.1％,年龄中位数为72岁,应用ASA、BB、ACEI、Statins的比率分别81.4％、50.3％、52.5％、57.9％,TC达标率为13.5％,吸烟率为41.7％(男性)。结论：2005年荣成市MI后二级预防状况比较2002年有很大进步,但与2001年急性心肌梗死(AMI)诊断和治疗指南中关于MI后二级预防的要求还有很大差距。
Objective： To understanding the situation of secondary prevention after myocardial infarction in the recent years in coastal area.Methods： For the patients who have been accurately diagnosed myocardial infarction from Jan 1st 2000 to Dec 31st 2001 and from Jan 1st 2003 to Dec 31st 2004 in three hospitals in Rang Cheng City, the relative situation of the patients who have leaved hospital（over 3 months） was surveyed twice respectively in Feb 2002 and Feb 2005.Besults： 247 cases were surveyed in 2002, with 68.8% in male, and the intermediate age was 69, the rate of smoking was 46.5% （male）, and the ratio of the application of Aspirin, β- Blockades, A CEI, Statins was respectively 78.1%, 40.9%, 47.7 % and 14.6%, and up to standard to rate of total cholesterol（TC 〈 4.68mmol/L） was 8.5%. 318 cases were surveyed in 2005, with 70.1% in male, and the intermediate age was 72, the rate of smoking was 41.7% （male）, and the ratio of the application of Aspirin, β - Blockades, ACEI, Statios was respectively 81.4%, 50.3%, 52.5% and 57.9% ,and up to standard to rate of total cholesterol was 13.5%. Conclusion： Great progresses have been made in the secondary prevention after myocardial infarction in Rang Cheng City in 2005 in comparison with the year 2002,but there are.still great gap with the requirement of the diagnosis and treatment guide for the acute myocardial infarction established in 2001.
出处
《中国医药导刊》
2006年第1期30-31,33,共3页
Chinese Journal of Medicinal Guide
关键词
心肌梗死
二级预防
调查
myocardial infarction
secondary prevention
investigation
