基于医院信息管理系统的急性心肌梗死患者发

发布时间：2018-02-24 15:33

本文关键词： 急性心肌梗死发病死亡节气时辰合并病　出处：《中华中医药杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:本研究旨从中医角度探究急性心肌梗死患者的发病、死亡因素,以期为临床急性心肌梗死治疗提供指导。方法:选择2009年-2010年19家三级甲等医院信息管理系统(HIS)数据库中3 909例急性心肌梗死病例,其中存活组3 662例,死亡组247例,对其相关数据(年龄、性别、合并病、节气、时辰等)进行回顾性分析。结果:急性心肌梗死住院患者病死率为6.81%,60-74岁的患者发病率最高,75-89岁年龄段的患者病死率最高;男性占发病率的73.38%、病死率的61.54%;女性占发病率的24.39%、病死率的38.46%;合并心功能不全、高血压病的患者发病、病死率高;霜降、大寒、谷雨为其病死率分布最高的3个节气;死亡时辰以申时、酉时、巳时、午时最为常见。结论:性别、年龄、心功能不全、节气等与急性心肌梗死患者发病、死亡具有相关性,其死亡的节气(霜降、大寒、谷雨)和时辰(申时、酉时、巳时)有其内在规律可循,在临床中应加以重视和注意。
[Abstract]:Objective: This study aims to explore Chinese medicine from the point of incidence, death factors in patients with acute myocardial infarction, in order to provide guidance for clinical treatment of acute myocardial infarction. Methods: 2009 -2010 19 three level of first-class hospital information management system (HIS) database of 3909 cases of acute myocardial infarction patients, including 3662 patients in the survival group, 247 death cases, the relevant data (age, gender, and disease, when solar term, etc.) were analyzed retrospectively. Results: acute myocardial infarction mortality rate was 6.81%, 60-74 year old patients with the highest incidence, 75-89 years of age with the highest mortality rate; male incidence rate of 73.38%. The fatality rate of 61.54%; the incidence rate of women accounted for 24.39%, the fatality rate of 38.46%; patients with cardiac insufficiency, patients with hypertension, high mortality rate; frost, cold, the fatality rate distribution of the highest Guyu 3 hour in the solar term; death And you, is the most common. At noon time, conclusion: gender, age, heart failure, patients with solar term of acute myocardial infarction, death associated with death, the solar term (frost, chill, rain) and time (time, you, have to follow the inherent law between), should be in clinical attention and attention.

【作者单位】：中国中医科学院中医临床基础医学研究所;中国人民大学统计学院;中国人民解放军海军总医院;清华大学附属北京市垂杨柳医院;
【基金】：中国中医科学院自主选题项目(No.PY1303);中国中医科学院基本科研业务费自主选题项目(No.Z0291)~~
【分类号】：R259

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