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目的探讨农村及社区急性心肌梗死发病及死亡规律。方法采用远程心电监测会诊的方法,入选确诊急性心肌梗死患者65例(监测组),分析入选患者四季及每天时间发病及死亡情况。选择同期门诊确诊的急性心肌梗死21例患者(门诊组),对两组急性心肌梗死的发病情况进行对比分析。结果研究期间共监测、会诊农村及社区远程终点患者心电图14591例,确诊急性心肌梗死65例(0.44),其中5例急性心肌梗死患者死亡,死亡率为7.69(5/65),低于门诊组急性心肌梗死患者的死亡率(14.28,3/21),但两组间的差异并无统计学意义(P>0.05)。农村与社区急性心肌梗死易发时间为冬季(构成比为40)、每天晨起5:00～10:00(构成比为36.9),监测组与门诊组患者急性心肌梗死发病的四季构成比及每天发病的时间构成比,两组间的差异均无统计学意义(P均>0.05)。结论农村及社区急性心肌梗死易发时间为冬季、晨起,远程心电监测对降低急性心肌梗死的死亡率有帮助。
Objective To investigate the incidence and mortality of acute myocardial infarction in rural and community. Methods Using the method of remote ECG monitoring consultation, 65 patients with acute myocardial infarction (monitoring group) were enrolled in this study. The incidence and mortality of patients in the four seasons and every day were analyzed. Select the same period outpatient diagnosis of acute myocardial infarction in 21 patients (outpatient group), the incidence of acute myocardial infarction two groups were compared. Results A total of 14 591 electrocardiogram (ECG) patients were diagnosed at the remote endpoint in rural and community during the study period. 65 cases (0.44) were diagnosed with acute myocardial infarction. Five of them died of acute myocardial infarction with a mortality rate of 7.69 (5/65), which was lower than that of the outpatient group Mortality in patients with acute myocardial infarction (14.28,3 / 21), but the difference between the two groups was not statistically significant (P> 0.05). The incidence of acute myocardial infarction in rural areas and community was predominant in winter (the constituent ratio was 40), with a daily morning onset of 5: 00-10: 00 (constituent ratio of 36.9). The incidence of acute myocardial infarction in monitoring group and outpatient group The incidence of the time of day composition, the difference between the two groups were not statistically significant (P all> 0.05). Conclusion The incidence of acute myocardial infarction in rural and community is winter, morning and long-term monitoring of ECG is helpful to reduce the mortality of acute myocardial infarction.