对天津市城区干预点和对照点 194名 1992— 1996年发病的急性心肌梗塞存活患者进行了预后状况和卫生服务利用情况的问卷调查。结果表明 :对照点和干预点患者恢复期合并症发生率分别为 5 8.5 %和 42 .3% ,活动能力下降程度对照点也明显较干预点患者严重 (P<0 .0 5 )。对照点和干预点患者的再次住院率分别为 39.8%和 2 5 .4% ,1997年 1年中门诊次数分别为 8.1次和 4.7次 ,自购药利用率分别为 5 3.7%和 33.8% ,以上差异均具有显著性 (P<0 .0 5 )。可见采取社区干预措施对改善急性心肌梗塞患者的预后状况、降低医院就医需求起到了明显的效果。因此建议今后应继续加强并完善以高血压防治为重点、以健康教育为主导的综合性社区干预活动 ,推动慢性病社区干预工作的全面展开 A total of 194 survivors of acute myocardial infarction from 1992 to 1996 in interventional and control points of Tianjin City were surveyed on the prognosis and the utilization of health services. The results showed that the incidence of comorbidities in convalescent patients at control and intervention points were respectively 8.55% and 42.3%, and the control points were significantly lower in intervention points than those in control points (P <0.05). The rehospitalization rates were 39.8% and 25.4% respectively in control and intervention groups. In 1997, the outpatient visits were 8.1 times and 4.7 times respectively. The self-employed drug utilization rates were 53.7% and 33.8% respectively, The above differences were significant (P <0.05). Visible community interventions to improve the prognosis of patients with acute myocardial infarction, reduce the hospital’s medical needs has played a significant effect. Therefore, it is suggested that we should continue to strengthen and improve comprehensive community intervention focusing on prevention and treatment of hypertension with health education as the leading factor in order to promote the full implementation of community intervention in chronic diseases