急性心肌梗塞的二级预防

Secondary Prevention of AMI

总结了１５４例急性心肌梗塞（ＡＭＩ）用药物进行二级预防的经验。包括：止痛剂的应用；硝酸盐的应用；血管紧张素转换酶抑制剂（ＡＣＥＩ）的应用；β受体阻滞剂的应用；肠溶阿司匹林的应用；静脉溶栓治疗；静脉输液治疗。对照组为９２例ＡＭＩ患者，使用止痛剂，口服硝酸盐和静脉输入极化液治疗。使病死率由１７．４％下降到７．８％，经统计学处理（χ２＝５．２６Ｐ＜０．０５）。综合治疗组与对照组两组疗法的差异有显著性。说明对ＡＭＩ采取综合治疗措施，降低了住院期间的病死率。

The article summerized the experience of 154 hospitalized patients with AMIThey had been taken secondary prevention consisting of the following:①analgesics,②nitrates,③ACE inhibitien,④betablockers,⑤enteric Aspirin,⑥thrombolysis,⑦intrarenous fluidsThese medicinal treatments had excellent resultsThe mortality reduced form 17.4% to 7.8%.The statistical figures (χ2=5.26,P<0.05)indicate there is a marked difference serven two groups of treatment.These results show significant improvements in treating AMI.