1例初诊急性心肌梗死并发室性早搏患者的循证治疗  

Evidence-Based Treatment for A Newly Diagnosed Acute Myocardial Infarction Complicating Premature Ventricular Patient

作　　者：陈文韬[1] 黄从新[1] 梁锦军[1] 杨波[1] 

机构地区：[1]武汉大学人民医院心内科,武汉430060

出　　处：《循证医学》2009年第4期226-229,共4页The Journal of Evidence-Based Medicine

摘　　要：目的借助循证医学的方法为初诊急性前壁心肌梗死合并室性早搏的患者确定治疗目标及治疗方案。方法在充分评估患者情况后,提出临床问题,从Cochrane图书馆(2008年第4期),MEDLINE(PubMed网站1996-2008年)和美国国家指南交换中心检索。检索主题词为:acute myocardial infarction、arrhythmia、evidence-based treatment。结果共检出相关的随机对照试验318篇,系统评价或Meta分析35篇。通过对检索结果进行分析,为患者制定了合理的治疗方案。经24小时院内心电监护证实,该方案适合患者。结论采用循证治疗的方法,为初诊急性心肌梗死合并室性心律失常患者确定合理的治疗目标和治疗方案,可有效提高治疗效果。Objective Methods of evidence-based medicine were used to make an individualized treatment plan concerning newly diagnosed acute myocardial infarction complicating with arrhythmia ventricular in male patients. Method After clinical problems were put forward, evidence was collected from fourth issue, 2008, Cochrane Library, MEDLINE （PubMed 1996-2008） and National Guideline Clearing-house （NGC）. According to the search srategy, subject words were：cute myocardial infarction, arrhythmia, evidence-based treatment. Result A total of 318 RCTs, and 35 systematics reviews were identified. A rational treatment plan was made upon a serious evaluation of the date. After 24 hours of custodial care in hospital, the plan was proved optimal. Conclusion The treatment efficacy in newly diagnosed acute myocadial infraction complicating with arrhythmia ventricular in male patients has been improved by determining an individualized treatment plan according to evidence-based methods.

关 键 词：急性心肌梗塞 心律失常 循证治疗 

分 类 号：R542.22[医药卫生—心血管疾病]