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目的了解2001~2002年浙江省急性心肌梗死(AMI)患者的药物治疗状况。方法调查浙江省23所医院2001—2002年间出院诊断为AMI的806份病史资料。结果男性占72·2%。平均年龄为67·4岁,从胸痛发生至到达医院平均时间为11h。总静脉溶栓率仅为19·2%,适宜溶栓却未进行溶栓治疗者106例(45·9%)。β受体阻滞剂(BB)和血管紧张素转换酶抑制剂(ACEI)的实际使用率分别为49·4%、65·4%。阿斯匹林、低分子肝素、他汀类使用率较高,分别为88·2%、73·7%、71·5%。结论浙江省的AMI西医药治疗基本上遵循了指南推荐策略,但与指南要求仍存在差距,尤其是静脉溶栓率偏低。
Objective To understand the medical treatment of patients with acute myocardial infarction (AMI) in Zhejiang Province from 2001 to 2002. Methods Totally 806 medical records of AMI diagnosed as discharged from hospital in Zhejiang Province from 2001 to 2002 were investigated. Results Male 72.2%. The average age was 67.4 years. The average time from chest pain to hospital arrival was 11 hours. Total thrombolysis rate was only 19.2%, suitable for thrombolytic therapy without thrombolysis in 106 cases (45.9%). The actual usage rates of β-blocker (BB) and angiotensin-converting enzyme inhibitor (ACEI) were 49.4% and 65.4% respectively. Aspirin, low molecular weight heparin, and statins were used at a high rate of 88.2%, 73.7% and 71.5% respectively. Conclusion Western medicine treatment of AMI in Zhejiang basically followed the recommended guidelines, but still lagged from the guidelines. In particular, the rate of intravenous thrombolysis was low.