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Objective: To understand the tertiary hospitals of the country part of traditional Chinese medicine clinical characteristics of 2006 patients with AMI, Chinese and Western medicine treatment of its relationship with the prognosis of patients. Methods: A unified questionnaire to the registration of the national part of the three A-level Chinese Medicine Hospital discharged on January 1, 2006 to 2006, 31 patients with AMI, ACCESS establish a database, using SPSS15.0 statistical software AMI clinical describe characteristics, treatment status, relevant factors affecting mortality univariate and multivariate analysis. The result: a survey of the population to learn general information see the average age of the total incidence of 65.96 ± 12.44 years, which gt; incidence ratio of 65 age segment accounted for 57.13% of the total number of male to female ratio of 1.9:1. In all patients with AMI, 516 cases associated with hypertension, accounting for 47.17% of all patients, there were 255 cases associated with diabetes, accounting for 23.31% of all patients; 223 cases associated with hyperlipidemia, representing all patients 20.38% of the number. Previous history of coronary heart disease and stroke, respectively, 38.30% and 33.36% of the total number of patients with brain promote. The TCM syndromes aspects empirical mainly to blood stasis, phlegm, and 78.06%, respectively, of the total number of cases, 42.96%; deficiency qi deficiency, heart yin deficiency based, respectively, 62.43% of the total number of cases, 21.12% . 3 AMI hospitalized patients total reperfusion treatment rate reached 43.69%. Western medicine intervention situation: the use of aspirin was 91.50%, the use of low-molecular-weight heparin was 83.82%, the use of lipid-lowering drugs was 76.14% and 70.66% utilization rate of nitrates, ticlopidine than pyridine and clopidogrel The utilization rate of 66.45% utilization rate of 66.27% beta blockers, ACEI use was 66.00%, the use of unfractionated heparin was 6.58%. 4 the Chinese intervention: 946 patients received traditional Chinese medicine the intravenous formulation drip treatment, accounting for 86.47% of all cases, using a frequency of more than 5% of the intravenous formulation of traditional Chinese medicine for a living pulse injection, the Danshen injection preparations, Panax injection ( Xueshuantong blood Xuesaitong), Shenfu Injection Acanthopanax etc.; 575 patients using Chinese medicine decoction, the utilization rate of 52.56%, mainly the following main conquer: and activating blood and Qi, phlegm Law, qi law; 394 patients using the proprietary Chinese medicines, the total utilization rate of 36.01%, used proprietary Chinese medicine compound aloe soft capsule, Maren Soft Capsule Tongxinluo capsule, CSDP (film), Bu Xin gas, such as oral liquid. 5 of all registered cases in a total of 122 cases of death, for 11.15% of the total mortality, cardiac death 101 cases, accounting for 9.23% of the total number of cases, non-cardiac death 21 cases, representing 1.92% of the total number of cases. 32-year-old minimum age, maximum age of 94 years old, the average age of 72.96 years. 6 associated with mortality on univariate analysis results show that the general condition of patients and mortality: age, sex, past medical history, along with the history and issuing situation; the TCM syndromes aspects related to mortality: Yang off the card with phlegm obstruction. Associated with mortality multivariate analysis results show that: the impact of elevated AMI mortality factors (high to low risk sort) increase in ventricular dysfunction degree, gender, age, growth, dyslipidemia performance is so The AMI mortality reduce the impact factors; deficiency Center Yin Yang off the AMI mortality increased; empirical performance of phlegm obstruction patients, instead higher mortality. Conclusion: Chinese Medicine Hospital AMI patients with age, the high proportion of women, along with the characteristics of diseases and complications, compared with Western medicine hospitals, relatively independent of the clinical features. 2 TCM syndrome empirical deficiency Yin deficiency, heart blood stasis, phlegm. 3 Chinese medicine hospital to better reperfusion therapy, a higher degree of standardization of drug treatment, but from the \The 4 intravenous formulation of TCM treatment Chinese medicine conquer Qi, blood, Yin conquer-based Chinese medicine decoction and activating blood and Qi, phlegm law. 5 mortality study shows: the greater the age, the higher the mortality; women than male mortality is high; previous cardiovascular disease, hypertension, diabetes, hyperlipidemia, clinical complications (including arrhythmia, heart failure post-infarction angina) were highly correlated with mortality; the TCM syndromes sun off the card and phlegm obstruction differences fatality; Multivariate analysis showed that patients admitted to hospital AMI mortality increased clinical data of influencing factors : increase in the degree of cardiac dysfunction, gender, age and growth, deficiency Yin Yang off is also AMI mortality increased impact factors, dyslipidemia two factors with phlegm obstruction needs further study. Through this study with the same subject in 2000, the 2005 comparison found that the Chinese Medicine Hospital has made some progress in the treatment of acute myocardial infarction, but work remains to be done to reduce the mortality rate of acute myocardial infarction. Accompanied the deepening of this topic, the Chinese Medicine Hospital in the reperfusion ability, standardized treatment and TCM features play, there will be greater progress.
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