中文摘要：

目的分析北京地区部分中、西医三甲医院2005年急性心肌梗死（AMI）患者住院临床特征及治疗等情况。方法采用统一调查表，对北京地区部分三甲中、西医医院2005年1月1日-12月31日出院的AMI患者进行登记，建立数据库，用统计软件进行总结和描述性分析，描述AMI的临床特征和诊疗情况。结果595例患者中，中、西医医院各占296例和299例；男女比例分别为1．57：1和2．48：1；平均年龄分别为（69．08±12．00）岁和（62．71±13．00）岁。中医医院AMI患者伴随冠心病、脑卒中病史及心律失常、心功能不全等并发症的患者比例明显高于西医医院（P均〈0．01）。治疗方面，中医医院的再灌注率以及β-受体阻滞剂、ADP受体拮抗剂、调脂剂的使用率均明显低于西医医院，而硝酸盐药物、钙拮抗剂、利尿剂、洋地黄制剂和中药静脉制剂的使用率明显高于西医医院（P〈0．05或P〈0．01）。结论中医医院AMI患者具有独立的临床特征，中、西医医院在遵循指南方面均较5年前有了较大进步，但仍存在一定差距。因此，在进行临床实践和研究过程中必须考虑到中医医院这个特殊的AMI患者群体。

英文摘要：

Objective To investigate and compare the clinical feature and therapeutic status of in-patients with acute myocardial infarction （AMI） between traditional Chinese medicine （TCM） and western medicine （WM） in Beijing third class hospitals in 2005. Methods The clinical data of 595 AMI patients discharged from 6 TCM and 4 WM Beijing third class hospitals in January 1st to December 31st, 2005 were enrolled by using a uniform questionaire. A database was set up by Access and analyzed by SPSS 15.0. Then the clinical feature and treatment status were described. Results There were a total number of 595 cases with AMIin which 296 cases were in TCM and 299 cases in WM hospitals. The average ages were （69.08±12.00） years and （62.7±13.00） years, and the male/female （M/F） ratios were 1.57 ： 1 and 2.48 ： 1 in TCM and WM hospitals, respectively. The percentage of patients accompanied by other complications, such as coronary heart disease, history of stroke, arrhythmia and cardiac dysfunction, etc. was obviously higher in the TCM hospitals than that in WM hospitals （all P〈0. 01）. In the aspect of treatment, the rate of using reperfusion therapy, β-receptor blockers, ADP-receptor antagonist and statins in TCM hospitals was evidently lower than that in WM hospitals, while the use of nitrate drugs, Ca^2＋-antagonist, diuretics, digitalis and intravenous injection of Chinese medicine was significantly more frequent in TCM hospitals than that in WM hospitals （P〈0. 05 or P〈0. 01）. Conclusion The AMI patients in TCM hospitals have their unique clinical feature. In regard to the following of the guide book, there has been a remarkable progress in comparison with the situation 5 years ago, but still a certain gap exists. Therefore, in clinical practice and research, the special group of AMI patients in TCM hospitals must be considered.