689例非ST段抬高型心肌梗死患者的临床流行病学特征  

Epidemiological characteristics of 689 patients with non-ST-segment elevation myocardial infarction

作　　者：张玉凤 徐敏[3] 邢秀丽 逄曙光[3] 户克庆 ZHANG Yufeng;XU Min;XING Xiuli;PANG Shuguang;HU Keqing(Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong,China;People's Hospital of Lixia District of Jinan,Jinan 250014,Shandong,China;Department of Endocrinology,Jinan Central Hospital,Shandong University,Jinan 250013,Shandong,China;Chest Pain Center,Jinan Central Hospital,Shandong University,Jinan 250013,Shandong,China)

机构地区：[1]山东大学齐鲁医学院,山东济南250012 [2]济南市历下区人民医院,山东济南250014 [3]山东大学附属济南市中心医院内分泌科,山东济南250013 [4]山东大学附属济南市中心医院胸痛中心,山东济南250013

出　　处：《山东大学学报（医学版）》2022年第7期118-122,132,共6页Journal of Shandong University:Health Sciences

基　　金：山东省重点研发计划(2016GSF201019);济南市医疗卫生科技创新计划(201704116);山东大学横向计划(6020320001);山东省第一医科大学学术提升计划(2019QL205)

摘　　要：目的调查分析济南市某三甲医院胸痛中心就诊患者中非ST段抬高型心肌梗死患者的流行病学特征,探讨近3年该院胸痛中心就诊的非ST段抬高型心肌梗死患者的特点及规律。方法选取2018年1月至2020年12月到胸痛中心就诊的非ST段抬高型心肌梗死患者689例作为研究对象,按患者的性别、年龄、就诊时间及患者的首次医疗接触时间、处理策略等进行频数分析、卡方检验和Logistic回归分析。结果非ST段抬高型心肌梗死患者人数和构成比随年龄的增长逐渐增加,70岁~年龄组占比最高(53.4%),男性患者构成比高于女性;非ST段抬高型心肌梗死患者的就诊有明显的季节性,不同季节的患者昼夜就诊率差异有统计学意义(χ^(2)=12.627,P=0.006)。对昼夜就诊有关联的影响因素进行二分类Logistic回归多因素分析显示,就诊季节、首次医疗接触时间及处理策略是患者昼夜就诊差异的独立影响因素(P<0.05)。结论该院非ST段抬高型心肌梗死患者就诊的高峰年龄、就诊时间段、季节分布有其规律可循,为临床医师识别高危患者、选择最佳诊疗策略提供依据。Objective To investigate the epidemiological characteristics of patients with non-ST-segment elevation myocardial infarction(NSTEMI),and to explore the characteristics and regularity of patients with non-ST-segment elevation myocardial infarction in chest pain center of the hospital in recent 3 years.Methods A total of 689 NSTEMI patients who visited the chest pain center of a certain hospital during Jan.2018 and Dec.2020 were selected as the study subjects.Frequency analysis,Chi-square test and Logistic regression analysis were performed based on patients'gender,age,date and time of treatment,time of first medical contact and treatment strategy.Results The number of patients and constituent ratio increased with the increase of age.The 70-year group had the highest proportion,accounting for 53.4%of all cases.The proportion of male patients was higher than that of female patients.Patients in different seasons had statistically significant difference in day and night visit rates(χ^(2)=12.627,P=0.006).Multinomial Logistic regression analysis showed that the season of visit,time of first medical contact and treatment strategy were the independent influencing factors of day and night visits(P<0.05).Conclusion The peak age,time period and seasonal distribution of patients have certain rules to follow,which can provide a basis for clinicians to identify high-risk patients and choose the best diagnosis and treatment strategy.

关 键 词：非ST段抬高型心肌梗死 流行病学 季节分布 预后 

分 类 号：R542.22[医药卫生—心血管疾病] R181.3[医药卫生—内科学]