成都市基层医疗机构急性心肌梗死诊治情况调查

Investigation on the Diagnosis and Treatment of Acute Myocardial Infarction in Primary Medical Institutions in Chengdu

目的调查成都市急性心肌梗死诊治情况。方法采用横断面研究,纳入2017年成都市96家医院3920例急性心肌梗死患者资料,分析诊治经过(转院、溶栓、急诊冠脉介入治疗以及其他情况)和疾病转归情况(转院、好转、未愈以及死亡)。结果成都市急性心肌梗死患者转院率高达20.18%,能得到有效再灌注治疗的患者仅24.77%,这些患者住院期间死亡率达4%。结论成都地区基层医院急性心肌梗死的救治整体情况较差,针对急性心肌梗死的规范化诊治流程细节的强化和督导是必要的。

Objective To investigate the diagnosis and treatment of acute myocardial infarction in Chengdu.Methods A cross-sectional study was used to include 3,920 patients with acute myocardial infarction of 96 Chengdu hospitals in 2017.The diagnosis and treatment(transfer,thrombolysis,emergency coronary intervention and other conditions)and disease outcomes(transfer,Improvement,unhealing and death)were analyzed.Results The transfer rate with acute myocardial infarction in Chengdu was as high as 20.18%.The rate who could receive effective reperfusion therapy was only 24.77%,and the mortality rate during hospitalization was 4%.Conclusion The overall situation of acute myocardial infarction treatment in Chengdu primary hospitals is relatively poor.It is necessary to strengthen and supervise the details of the standardized diagnosis and treatment process for acute myocardial infarction.