不同证型急性心肌梗死患者院内死亡的时间规律及特点.pdfVIP

不同证型急性心肌梗死患者院内死亡的时间规律及特点 何明丰 徐文冲 李莹莹 刘绍辉 陈景利 (广东省佛山市中医院急诊科，佛山 528000 ) [摘要]目的：探讨不同证型急性心肌梗死患者院内死亡时间规律。方法： 回顾分析176例急性心肌梗死患者院内死亡时辰，作圆形统计分析，计算出不同 中医证型急性心肌梗死院内死亡发生高峰期及集中趋势。结果：实证型心肌梗死 患者院内死亡时辰无明显集中趋势，虚证型患者院内死亡高峰为未时，其中阳气 虚型患者院内死亡时辰高峰为未时，阴血虚型患者院内死亡高峰为午时。结论： 实证型急性心肌梗死院内死亡时辰无明显的规律性和周期性，而虚证患者院内死 亡有明显规律性和周期性。 Abstract ：Objective: To investigate the time pattern of in-hospital death of patients suffer from acute myocardial infarction with different syndrome types in Traditional Chinese Medicine. Methods: We recorded 176 patients ，calculated the constituent ratio of each syndrome types and observed whether each syndrome type had peak time of two-hour periods of in-hospital death of AMI by circular statistical analysis. Results: We observed that the in-hospital death of sthenia syndrome cases without significant circadian variation of sthenia syndrome cases, though there is circadian rhythm in the time pattern of in-hospital death of deficiency syndrome cases with a pick time in and eighth of the twelve two-hour periods. And among the deficiency syndrome cases, the peak of yang-qi debilitation death in-hospital was the eighth of the twelve two-hour periods, and the peak of insufficiency of yin-blood was the seventh of the twelve two-hour periods. Conclusion: There is no significant circadian variation of sthenia syndrome cases, though there is circadian rhythm in the time pattern of death in-hospital of deficiency syndrome cases. 关键词：急性心肌梗死；院内死亡；时辰；圆形统计分析 Key words: acute myocardial infarction (AMI) ； in-hospital death ；two-hour periods ； circular statistical analysis 急性心肌梗死是临床常见危重病之一，病死率较高。现就本院近 10 年收治 的急性心肌梗死院内死亡病例，作一回顾分析，采用圆形分布统计法分析其院内 死亡发生的时辰规律，为急性心肌梗死的防治提供流行病学依据，冀求补充中医 对急性心肌梗死死亡时间规律的认识，为临床工作中降低该病病死率提供参考。 1.材料与方法 1.1临床资料 全部病例共有176例，均为2000年1月1 日--2009年12月31日佛山市中 医院