The Study Of Acute Myocardial Infarction Treatment Condition Investigation In Our Hospital

ObjectiveThe aim of this study is through the investigation on January 1,2013 to December 31,2013 in the first affiliated hospital of guangzhou university of TCM treatment of AMI patients in general situation, treatment as well as the preliminary discussion on its relationship with the prognosis, provide reference information for specification of Chinese medicine treatment of AMI.MethodsAcute myocardial infarction by traditional Chinese medicine treatment condition investigation handbook as the foundation, make our investigation forms and follow-up forms of acute myocardial infarction. Analysis of the patient’s general condition, past medical history and family history, reperfusion therapy, traditional Chinese and western medicine and general situation after discharge, and the factors affecting the disease mortality risk factors for single and multiple factors analysis.Results131 AMI patients with an average age of 62.9±13.8 years,15% below 45 years old, smallest only 33 years old, reperfusion therapy in 103 cases,78.1% of the total reperfusion treatment, early reperfusion therapy was 48.1%, Early reperfusion in patients with hospital infection, heart function grading, early reperfusion in patients with heart failure with no significant differences, and differences in arrhythmia, hypotension, angina pectoris after infarction is not obvious. the use of drugs, lipid medicine accounted for 98.5%,98.5%, other antiplatelet drugs aspirin 97.7%, ACEI/ARB accounted for 90.1%,78.6% beta blockers, intravenous use proprietary Chinese medicine,97.7% 79.4% of oral Chinese patent medicine, Chinese medicine medicinal broth by 88.5%. Our hospital mortality was 21.4%, the mortality was 27.8% in 2 years follow-up, the central source sex mortality 13.5%, the mortality rate is higher, more than 50% of the time > 12 hours to the patient to the college, multi-factor analysis influence the mortality of patients with risk factors from high to low were developed hypotension or shock, high blood pressure, heart function, such as infection, heart failure, arrhythmia, blood reperfusion therapy is to reduce the mortality of protection factor, especially in the blood vessels within the time window of early reperfusion is better.ConclusionOur early reperfusion therapy of acute myocardial infarction is not high. And in patients with early reperfusion arrhythmia and low blood pressure or shock, with no early reperfusion on the complications of patients with no significant difference, it has to do with a sex after reperfusion arrhythmia related to the occurrence of low blood pressure, more favourable prognosis. Patients with high mortality rate, but compared to other domestic hospital was similar, and the masses to later the doctor of traditional Chinese medicine hospital time, and the traditional Chinese medicine hospital patients themselves more basic kinds of chronic diseases. So the need to strengthen publicity and education, raise their awareness of AMI, found that early diagnosis, early treatment. Hospitalization aspirin and other antiplatelet drugs, statins application is higher, conform to the requirements of the "guidelines", and ACEI/ARB, beta blockers, heparin, nitrate utilization rate needs to be improved. Traditional Chinese medicine intravenous proprietary Chinese medicine utilization rate is high, and oral proprietary Chinese medicine, Chinese medicine medicinal broth remains to be improved. Our hospital in the treatment of AMI is to follow the guide, and play traditional Chinese characteristics of traditional Chinese medicine, treats dialectical, combine traditional Chinese and western medicine treatment.