title: [Establishment and testing practice of an integrative medical pathway for clinical management of acute myocardial infarction].
abstract: OBJECTIVE
  To establish an integrative medical approach (IMA) for clinical management of acute myocardial infarction (AMI), and to test its efficacy.
  
  
  METHODS
  IMA was preliminarily established according to the guidelines and based on the Chinese medical therapy of benefiting vital qi and promoting blood circulation. And adopting non-synchronous queue design, AMI patients were assigned to the IMA group (71 cases) and the non-IMA group (70 cases), they were managed following or didn't follow the established IMA respectively. The total hospitalization time (THT), the ICU indwelling time (ICUD) and the total medical expenditure (TME) of patients were compared between groups. Moreover, for patients received primary PCI, the time for door-to-balloon (DTB) was compared in addition.
  
  
  RESULTS
  Comparisons between groups showed that THT in the IMA group was shorter than that in the non-IMA group (9.80 +/- 5.62 days vs. 12.01 +/- 7. 35 days , P < 0.05); but the difference of TME between groups was insignificant. For those received PCT, the DTB in the IMA group was shorter than that in the non-IMA group in terms of DTB time (82.56 +/- 17.36 min vs. 119.19 +/- 30.88 min, P < 0.01), THT (9.69 +/- 5.59 vs. 13.34 +/- 7.49 days, P < 0.01) and TME.
  
  
  CONCLUSIONS
  Practicing IMA for AMI, which was established based on Chinese medical therapy of benefiting vital qi and promoting blood circulation, could shorten the hospitalization time of patients, reduce the DTB time and TME in patients receiving primary PCI; fully displays its significance in hospital administration and quality control on AMI.
authors: ICU, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou.
authors: Lei
authors: L
authors: Wang
authors: Min-zhou
authors: MZ
authors: Zhang
authors: Jun
authors: J
authors: Zhang
mesh_terms: D000368:Aged; D019091:Critical Pathways; D005260:Female; D006801:Humans; D055048:Integrative Medicine; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D016896:Treatment Outcome