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中文摘要：
目的了解北京地区二级中医医院急性心肌梗死（AMI）住院患者的临床特征。方法应用统一调查表,对北京地区9家二级中医医院2006—2009年住院的AMI住院患者进行登记调查,描述急性AMI住院患者的临床特征及中医证候特征。结果共注册756例,平均发病年龄65.33岁;首次发病87.43%;ST段抬高型67.46%,Q波心梗49.74%。入院即发生心律失常22.35%,发生心力衰竭23.28%,并发心源性休克14.68%,并发梗死后心绞痛8.20%。证素分布虚证中以气虚比例最多,实证中以血瘀比例最多。频度大于10%的中医证型有气虚血瘀证、血瘀痰阻证、气滞血瘀证、气阴两虚证、气虚痰阻证,证型分类以虚实夹杂为主。结论北京地区二级中医医院AMI住院患者老年患者居多,证型多样,中医证候诊断亟待规范化。
英文摘要：
Objective To investigate clinical characteristics of acute myocardial infarction（ AMI） inpatients in Grade-two Hospitals of Traditional Chinese Medicine in Beijing area. Methods By using CRF, AMI inpatients in 9 Grade-two Traditional Chinese Medicine Hospitals of Beijing area from 2006 to 2009 were registered, and the clinical characteristics and TCM syndrome characteristics were recorded. Results A total of 756 patients were included. The average age was 65. 33 years;87. 43 % of the inpatients were treated for the first time to have AMI; 67. 46 % of the inpatients were diagnosed with ST-EMI;49. 74 % were diagnosed with Q-wave myocardial infarction. 22. 35 % of the inpatients had arrhythmia. 23. 28 % had heart failure,14. 68 % had cardiogenic shock, and 8. 20 % had post-infarctional angina pectoris. Traditional Chinese medicine symptoms study showed that qi deficiency and blood stasis were the most syndrome types. The syndromes with frequency〉 10 %were qi deficiency and blood stasis,blood stasis and phlegm stagnation,qi stagnation and blood stasis,deficiency of both qi and yin,qi deficiency and phlegm stagnation. Deficiency complicated with excessiveness was seen most. Conclusion The AMI inpatients in Beijing Grade-two Traditional Chinese Medicine Hospitals were featured with old age and various syndromes,indicating that TCM syndrome diagnosis was in need of standardization.
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