急性心肌梗死患者院外治疗依从性及远期生存状况分析  

Compliance of extramural hospital treatment and long-term survival status in patients with acute myocardial infarction

作　　者：赵睿[1] 卢前微[2] 杨蕊[3] 佘强[4] 

机构地区：[1]重庆市第九人民医院重症医学科,重庆400700 [2]重庆市第九人民医院肿瘤血液科,重庆400700 [3]重庆市第九人民医院消化内科,重庆400700 [4]重庆医科大学附属第二医院心内科,重庆400010

出　　处：《中南大学学报（医学版）》2016年第2期163-168,共6页Journal of Central South University ：Medical Science

基　　金：重庆市教委科学技术研究项目(KJ130324);高等学校博士学科点专项科研基金(20125503110009)~~

摘　　要：目的:探讨重庆地区急性心肌梗死患者院外治疗依从性及其对远期生存状况的影响。方法:本研究收集了重庆部分三甲医院2005年1月至2009年1月确诊为急性心肌梗死且治疗后出院的患者636例。通过不同方式对其进行5年的随访,了解患者在院外的治疗情况及影响因素。结果:最终574例入选,心因性死亡180例,病死率为31.4%,院外用药依从性差为死亡患者的主要特征。结论:治疗依从性差为本地急性心肌梗死患者5年预后的独立影响因素。Objective： To explore the compliance of extramural hospital treatment and the long-term survival status in patients with acute myocardial infarction（AMI） in Chongqing.Methods： A total of 636 patients with AMI, from grade 3 and first-class hospitals in Chongqing during Jan 2005 and Jan 2009, were enrolled for this study. The patients were followed-up for 5years to investigate the extramural hospital treatment and influential factors.Results： A total of 574 patients finished a five-year follow-up, and 180 cases died from cardiac death.The mortality was 31.4%. The poor compliance was a major feature in the pass away patients.Conclusion： The low treatment compliance is the independent risky factor for 5-year prognosis.

关 键 词：急性心肌梗死 治疗依从性 远期生存 

分 类 号：R542.22[医药卫生—心血管疾病]