摘要
目的：了解该院急性心肌梗塞（ＡＭＩ）患者的中西医结合治疗等概况，以便提高ＡＭＩ的治疗效果。方法：对该院１９９３年１月～１９９５年１２月的全部急性心肌梗塞住院病历进行回顾性分析。结果：ＡＭＩ共４６例，占同期住院各种心脏病患者的１．０％，平均年龄７１．３岁。使用中药（中西医结合）治疗者共４１例（８９．１％）。所用中药制剂近２０种。中医证型有胸痹（５８．７％）、脱证（１７．４％）、真心痛（１５．２％）等。病死率：溶栓组２６．７％，非溶栓组４５．２％（Ｐ＜０．０５）；中西医结合治疗组３９．０％，西药组４０．０％（Ｐ＞０．０５）。结论：本组患者具有临床症状不典型、并发症多及预后差等老年性急性心肌梗塞的共同特点，其预后与多种因素有关。中西医结合治疗的优势在于预防并发症，解除某些西药的毒副作用，缓解治疗矛盾等，但其临床疗效有待大宗病历分析证实和全国性协作研究的提高。
Objective:To know survey about acute myocardial infarction(AMI)cases treated with integrated traditional Chinese and western medicine.Methods:A retrospective analysis of the records of all hospitalized cases with AMI in our hospital from January 1993 to December 1995 was done.Results:46 patients suffered from AMI,whoes median age was 71 3 years.Among them,41 cases(89 1%) were treated with integrated traditional Chinese and western medicine.Nearly 20 kinds of herbal medicines preparations were used.The pattern identification included stuffiness in the chest(58 7%),collapse syndrome(17 4%),angina pectoris(15 2%),etc.Mortality was 26 7% in thrombolytic therapy group,45 2% in nonthrombolytic group( P <0 05);and 39 0% in integrated traditional Chinese and western medicine treatment group,40 0% in western medicine treatment group( P >0 05).Conclusions:There were untypical clinical symptoms,more complications and unfavourable prognosis in these cases.The prognosis was related to different factors.The advantage of integrated traditional Chinese and western medicine treating for AMI was prevent complication,remitting symptoms and limiting for a used western medicine.
