福州市中心城区院前死亡患者流行病学分析  

Epidemiological analysis of patients in pre-hospital death for center district of Fuzhou city

作　　者：钱欣[1] 林世荣[1] 连双庆[1] 柯俊[1] 张瑞[1] 郑耀权 王晓萍[1] 陈锋[1] 

机构地区：[1]福建省急救中心,福州350001

出　　处：《创伤与急诊电子杂志》2013年第1期37-41,33,共6页Journal of Trauma and Emergency(Electronic Version)

基　　金：国家临床急诊医学重点专科建设项目经费资助;福建省科技重点项目(No.2010Y0011)

摘　　要：目的 调查福州市院前死亡患者流行病学情况,探讨院前死亡病例特点.方法 从福州市急救医疗指挥中心系统数据库中导出2009年1月1日至2011年12月31日3年间全部死亡数据进行统计分析.结果 在3年间院前死亡的246例患者中,男患者163例,女性患者83例,男性以60～79岁组居多,女性以80≥岁居多；在有完整资料的因循环系统疾病院前死亡患者中,前3位的死亡基础疾病分别为急性心肌梗死、不稳定性心绞痛和陈旧性心肌梗死；院外猝死患者月份分布均以每年的12～2月份最多；两组患者调度时间、到场时间差异无统计学意义,心脏性猝死患者的现场时间长于非心脏性猝死患者,差异有统计学意义；院前心脏性猝死患者前3位的前驱症状依次为无症状、胸痛和呼吸困难；心脏性猝死的现场复苏手段也做初步分析.结论 院前死亡患者的病情复杂,在短时间内到达现场及明确诊断困难,旁观者心肺复苏少,加强急救技能普及加强EMSS服务效率等方面工作极为重要.心脏性猝死以中老年阶段为高发,并已成为院前死亡的主要原因.Objective To investigate the epidemiological information of patients in pre-hospital death for Fuzhou city and probe the patients' characteristics. Methods The data of patients in pre-hospital death,during Jan 01, 2009 to Dec 31,2012, were export- ted from the computer database of Fujian Emergency Medical Center. Results 246 cases of pre- hospital death in 3 years, 163 males and 83 females, the males from 60 to 79 years old and the females over 80 years old were primary; The top three diseases of pre-hospital sudden cardiac death group are acute myocardial infarction(AMI), unstable angina pectoris(UAP) and old myocardial infarction(OMI);The number of pre-hospital death group were at most in December- February;The scheduling time, running time and total time of patients in pre- hospital non-sudden cardiac death group were same as those of pre-hospital sudden cardiac death group(P >0. 05);The top three premonitory symptoms of pre-hospital sudden cardiac death are without symptom、chest pain and dysnoea;and also do some preliminary Analysis on the means of resuscitation. Conclusions The visiting physician could not diagnose in short time because of patient complicated condition in pre-hospital death, and bystander CPR almost zero, so it was very important to popularize the of skill of frist aid and improve the efficiency of emergency medical service system(EMSS). The sudden cardiac death group were at most in the old people, and would be the most cause in the pre-hospita l death.

关 键 词：院前死亡 心脏性猝死 急救医疗服务 流行病学研究 

分 类 号：R181.3[医药卫生—流行病学]