| Objective To investigate the recent twenty years in Guangxi in patients with acute myocardial infarction (AMI) treatment model change and its influence on prognosis, as therapy in patients with acute myocardial infarction and death risk assessment to provide reference. Methods a retrospective case analysis, selected1990-2009years in the first hospital of Guangxi Medical University due to AMI hospitalized cases, comparative analysis of relevant clinical information. Using logistic regression analysis of related risk factors, treatment and prognosis of patients with acute myocardial infarction correlation. Results a total of1974patients were selected (1990-1999468cases,2000-20091506cases), whole view:1990-2009patients with AMI incidence trend was increasing year by year, but AMI patients inhospital mortality has decreased year by year. Two group:age, gender, compared to the baseline alcohol consumption, stroke history, history of hypertension, dyslipidemia, a significant difference between the two groups. Treatment of aspirin, clopidogrel, pattern comparison: anticoagulation, nitrates, ACEI/ARB, beta blockers, statins, thrombolysis, PCI, emergency drug therapy alone there are significant differences between two groups. Through the single factor and multiple factors regression analysis found that aspirin, clopidogrel, nitrates, ACEI/ARB, beta blockers, PCI, thrombolytic therapy seven treatment will reduce mortality in AMI patients during hospitalization, where PCI, thrombolytic therapy contribution is the largest. Conclusion the Guangxi AMI patients the incidence increased year by year, but with the AMI diagnosis and treatment guidelines for continuous improvement and implementation, Guangxi AMI patients during hospitalization and improve significantly the prognosis. |
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