摘要
目的探讨近20年急性心肌梗死(AMI)住院患者的临床特征和治疗变化。方法统计1986,1991,1996,2001及2006年天津医科大学第二医院心脏科住院AMI患者的临床特征及治疗方式。结果 5个时段心脏科住院患者总数为5282例,其中AMI患者为762例,占14.8%。AMI患者在5个时段的住院例数分别为64、81、127、182和308例,AMI住院患者与时间呈正相关(r=0.953,P<0.001)。经皮冠状动脉介入治疗(PCI)表现出迅速上升趋势,2006年已经达到53.8%。ST段抬高性心肌梗死(STEMI)患者采用保守治疗的住院病死率下降不明显,而溶栓和PCI治疗患者的住院病死率明显下降,差异有统计学意义(P<0.05)。结论 AMI患者住院病死率的下降主要得益于溶栓和PCI,而非药物保守治疗。
Objective To discuss acute myocardial infarction （AMI） in clinical characteristics and treatment of patients nearly 20 years. Methods The clinical features and treatment methods of statistical AMI patients heart department in 1986, 1991, 1996, 2001 and 2006 in Second Hospital Affiliated to Tianjin Medical University. Results The 5 time the heart in hospitalized patients with a total of 5282 cases of AMI patients, including 762 eases, accounting for 14. 8%. Patients with AMI in the 5 period of inpatient number were 64, 81, 127, 182 and 308 cases, AMI positive patients hospitalized with time （ r =0. 953, P 〈0. 001）. Percutane0us coronary intervention （PCI） showed a rapid rising trend, in 2006 has reached 53.8%. ST segment elevation myocardial infarction （STEMI） treated by conservative treatment of in - hospital mortality rate did not decrease obviously, while patients with thrombolysis and PCI treatment in hospital mortality rate decreased significantly, the difference was statistically significant （P 〈 0. 05）. Conclusion AMI patients in hospital mortality decline is mainly due to the thrombolysis and PCI treatment, rather than conservative treatment.
出处
《实用心脑肺血管病杂志》
2013年第3期30-32,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
心肌梗死
治疗
回顾性研究
Myocardial infarction
Therapy
Retrospectively studies
