镇江市院前救治376例急性冠脉综合征患者的临床特点  

Clinical features of 376 cases of acute coronary syndrome patients during prehospital treatment in Zhenjiang city

作　　者：孙义萍 吴敏 纪学颖 邱晨 陈志刚 何斌 潘鑫 

机构地区：[1]江苏省镇江市急救中心院前急救科,212003

出　　处：《中华灾害救援医学》2016年第12期666-669,共4页Chinese Journal of Disaster Medicine

基　　金：镇江市卫生科技重点项目(SHW2015016)

摘　　要：目的 分析院前救治急性冠脉综合征（acute coronary syndrome,ACS）患者的特点,并为优化ACS救治流程提供依据。方法 采用回顾性分析方法,分析镇江市急救中心2015年1-12月院前救治所有ACS患者的病历资料。结果 共救治376例,其中男232例,女144例,平均年龄（69.89±13.88）岁,男平均（68.72±14.32）岁,女平均（71.78±12.98）岁,男女年龄比较,差异具有统计学意义（t=-2.081,P=0.038）;患者以〉60岁的老年人为主,共297例,占78.99%,〉60岁和≤60岁人群的比例为3.76∶1,≤44岁与〉44岁ACS患者人数,两组比较差异具有统计学意义（χ2=4.670,P=0.031）;一年中4月份为高发期,共44例（11.71%）,一天中主要高峰时段出现在09：00-19：59为28例（7.45%）;应急平均时间[6（6）]min;其中5min内者为155例（41.22%）。结论 镇江地区突发ACS老年患者之间可能存在性别差异,院前急救中仍需确保首次医疗接触的质量,确保患者受益。Objective The study is aimed to analyze the characteristics of patients with acute coronary syndrome （ACS） treated in prehospital setting in Zhenjiang city, and to provide a basis for optimizing ACS treatment processes. Methods A retrospective analysis method is used to analyze the medical records of patients with ACS from January to December 2015 in the emergency center of Zhenjiang city. Results A total of 376 cases were treated, of which male was 232 cases and female was 144 cases. The mean age was （69.89 ± 13.88） years, of which the male was （68.72 ± 14.32） years and female was （71.78 ± 12.98） years （t=-2.081, P=0.038）; the patients were mainly over 60 years old with a total of 297 cases, accounting for 78.99%. The ratio between those over 60 and less than 60 years of age was 3.76 ： 1. There was statistical difference between patients over 44 years old and those less than 44 years （Z2=4.670, P=0.031）; April witnessed the highest number of patients with a total of 44 cases （11.71%）. The peak hour of the day was from 09：00 to19：59 （28 cases, accounting for 7.45%）; the average response time was [6 （ 6 ） ] min, among which 155 cases （41.22%） were within 5 minutes. Conclusions Differences may exist between different genders in terms of elderly patients with ACS and the quality of first-time medical contact in pre-hospital emergency medical care must be guaranteed so as to benefit the patients.

关 键 词：急性冠脉综合征 院前急救 首次医疗接触 

分 类 号：R541[医药卫生—心血管疾病]