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data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p> 　　新华网8月11日电（晏珊）近日，由国家心血管病中心出炉的最新版《中国心血管病报告2014》（以下简称报告）显示，从2005年开始，农村居民急性心梗的死亡率呈快速上升趋势，2013年，农村地区急性心梗死亡率远超城市平均水平近20个百分点。</p> <p> 　　国家心血管病专家委员会主任委员高润霖指出，近年来，急性心梗发病人数和死亡人数明显增加，而大部分患者由于院外急救不及时失去生命，因此应重视提高院外心梗急救能力。</p> <p> <strong>　　40岁以上男性更易突发心梗</strong></p> <p> 　　《报告》显示，冠心病中国患病人数已达1000万人，每年新增100万人，已成为第二大心血管疾病，严重威胁公众健康。</p> <p> 　　世界卫生组织将冠心病分为5大类：无症状心肌缺血（隐匿性冠心病）、心绞痛、心肌梗死、缺血性心力衰竭（缺血性心脏?。┖外?种临床类型。其中，急性心肌梗死是最凶险的。</p> <p> 　　急性心肌梗死的“突发性”和“高致死致残率”是冠心病死亡的主要原因?！侗ǜ妗废允荆夜磕暝加?4万人死于急性心梗，且死亡率随年龄的增加而增加，40岁开始显著上升且男性多于女性。值得注意的是，急性心梗发病人群的年轻化趋势越来越明显。</p> <p> 　　对于农村人群急性心梗死亡率远超城市平均水平的现状，国家心血管病中心副主任、中国医学科学院阜外心血管病医院院长胡盛寿教授分析认为，近年来农村人群的生活水平提高，饮食结构也随之发生改变。农村人群饮食以高盐、高脂为主，吸烟人数、肥胖人数也较城市多，因此农村人群的血脂、血压都在增加；同时，因外出打工数量增加，导致精神压力、生活压力加大。此外，农村居民普遍缺乏健康知识且医疗条件相对较差，因此急性心梗患者难以得到及时、有效的介入治疗，这些都导致了农村心梗死亡率的快速上升。</p> <p> 　　《报告》研究显示，导致冠心病的危险因素中，高碳水化合物的摄入，尤其是从精制谷物中的摄入，会大大增加患冠心病的风险。此外，睡眠不足，环境污染都会造成猝死人群大增。“空气中一旦杂质变多，氧含量就会减少，而氧含量减少会导致呼吸时会用力多吸几口，从而导致人体血管内侧遭受到的有毒物质变多，导致血管增厚、狭窄等，因此极易诱发心梗。”胡盛寿说。</p> <p> <strong>　　把握救治“黄金90分钟” 建立区域性急救网络</strong></p> <p> 　　“时间就是心肌，时间就是生命”，急性心肌梗死的救治，最重要的就是抢时间。然而，我国急性心梗的救治仍然存在着抢救不及时、治疗不规范的问题。</p> <p> 　　中国工程院院士、著名的心血管病专家韩雅玲表示，“直接PCI（冠脉介入治疗）是STEMI（ST段抬高心肌梗死）最有效的治疗。但是，只有不到全国10%的STEMI患者接受了直接PCI治疗。公众宣教不足，患者缺乏对STEMI的认识；院前的医疗急救系统不健全；院内绿色通道不畅通；急诊科医生对STEMI判断不敏感；医患之间信任度不高，医患沟通困难；医疗资源分配不均，就诊的医院没有介入资质；介入治疗不规范等因素均会导致STEMI救治时间的延误。”</p> <p> 　　据了解，ST段抬高心肌梗死（简称STEMI）是冠心病的一种严重临床类型，主要是由于冠状动脉粥样硬化斑块破裂，激活血小板和凝血过程，形成血栓完全阻塞冠状动脉所致。而直接冠脉介入治疗是STEMI最有效的治疗方式，并能有效降低STEMI患者死亡率。</p> <p> 　　“急性心梗的‘黄金抢救时间’仅为发病90分钟以内。”因此，韩雅玲建议，在不断完善院前急救体系的同时，更应建立院内急性心梗救治“绿色通道”，形成区域性的急救网络，并规范化培训机制，以提高医护人员救治速度和质量。</p> <p> <strong>　　中西医结合挑战冠心病治疗“禁区”</strong></p> <p> 　　冠心病是冠状动脉发生粥样硬化病变而引起血管腔狭窄或阻塞，其治疗目的在于缓解心肌缺血症状。然而现代医学在强化内科治疗的基础上，即使采用介入治疗，仍然有相当一部分病情复杂患者无法从中受益。那么该如何解决这一难题呢？英国利兹市立大学的艾伦·怀特教授表示：“我相信传统中医药里面会有治疗冠心病的有效药物”。</p> <p> 　　研究表明，采用中西医相结合、辨证与辨病相结合、局部与整体相结合等标本同治方法治疗可以有效解决治疗难题，并产生更为显著的治疗效果。</p> <p> 　　“现在所采用的活血化瘀药物对心绞痛、心梗、心力衰竭及缺血性脑卒中等均取得较好的治疗效果。”中国中医科学院西苑医院陈可冀院士说，“当前标志性医方—包括冠心病2号、精制血府胶囊、愈心痛方、芎芍制剂中，均含有丹参、赤芍、川芎、红花、降香，而这五位药物正是活血化瘀的组方，对?；ぱ苣谄?、改善心肌重塑、改善微循环都有很好的疗效作用。”</p> <p> 　　中医认为，冠心病病位在心，病因是心脉不通，且通常具有气虚、阴虚、血瘀、痰阻、热毒炎性的病理特点。因此在治疗上，中医重在清热以驱除损害因素，化痰祛瘀以畅通气血，益气、养阴以扶正固本，使痰化瘀消热除络通。</p> <p> 　　而面对支架后再狭窄的问题，陈可冀表示：“我们还研制出中成药血府逐淤浓缩丸及芎芍颗粒剂，对防治再狭窄有较好功效。”另外，陈可冀强调：“ 中医强调整体调节和治未病，要未病先防、有病防变、愈后防复。因此，患者应坚持治疗，不得擅自停药。更应随身携带小药丸，突发不适时方可急救。”</p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：中国心血管病报告2014 中国农村急性心梗死亡率远超城市</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2018-04-25/2018715.shtml">“共铸中国心·藏区手拉手”爱心助学进林芝</a></li> <li><a target="_blank" href="/c/2017-07-10/1647057.shtml">“同心·共铸中国心”大型公益活动走进西藏</a></li> <li><a target="_blank" href="/c/2016-07-08/908618.shtml">“重走长征路共铸中国心”四川甘孜藏区行在康定启动</a></li> <li><a target="_blank" 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