北京市西城区急性冠脉综合征住院患者的诊断治疗分析  

Analysis on diagnosis and treatment of inpatients with acute coronary syndrome in Xicheng district of Beijing

作　　者：杨玲[1] 杜雪平[1] YANG Ling;DU Xue-ping(Yuetan Community Health Service Center, Fuxing Hospital, Capital Medical University,Beijing 100045, China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045

出　　处：《基础医学与临床》2020年第12期1681-1685,共5页Basic and Clinical Medicine

基　　金：首都卫生发展科研专项(首发2018-3-7023)。

摘　　要：目的分析北京市西城区急性冠脉综合征(ACS)患者住院诊疗情况,为冠心病二级预防/心脏康复提出建议。方法整群抽样。根据国际疾病分类(ICD)的ICD-10编码,于北京市卫健委信息中心搜索北京市西城区2012年1月1日至2016年12月31日住院病历病案首页,筛选ACS患者住院31448例次。结果ACS患者平均发病年龄69岁,男性占59.83%~62.68%;发病年龄>60岁,占70%左右;发病年龄60~75岁所占比例逐渐上升。ACS住院诊断中非ST段抬高型急性冠脉综合征(NSTE-ACS),包含不稳定性心绞痛(UA)、急性非ST段抬高型心肌梗死(NSTEMI)占83.21%~86.89%,历年UA所占比例>72%。51.36%~56.42%ACS患者行冠状动脉造影检查。经皮冠状动脉介入治疗(PCI)治疗总计9342人次,占总ACS住院人次的27.83%~32.01%。26.32%~30.28%ACS住院患者行冠状动脉支架植入。急性ST段抬高型心肌梗死(STEMI)、NSTEMI、UA住院患者行PCI治疗的比例分别为48.21%~54.89%、30.90%~33.56%和22.33%~27.14%。结论北京市西城区ACS发病以NSTE-ACS为主,但NSTE-ACS患者介入治疗和血运重建治疗所占比例较低。亟需加强心血管疾病预防和心脏康复治疗,60~75岁是重点防控年龄。Objective To analyze the diagnosis and treatment of acute coronary syndrome(ACS)inpatients in Xicheng district,Beijing,and put forward suggestions for coronary heart disease secondary prevention/cardiac rehabilitation.Methods Cluster sampling was carried out.ACS inpatients were screened by searching the home page of medical records of Xicheng district,Beijing between 2012.1.1—2016.12.31 based on the International Classification of Diseases(ICD)-10 codes from Beijing Municipal Health Information Center.Results The average onset age of ACS inpatients was 69 years old,and male patients accounted for 59.83%to 62.68%.Onset age>60 years accounted for about 70%;The percentage of 60<onset age≤75 years old increased gradually.Non-st-segment elevation acute coronary syndrome(NSTE-ACS)including unstable angina(UA)and acute non-ST segment elevation myocardial(NSTEMI),accounted for 83.21%to 86.89%of the total ACS hospitalized patients.The percentage ofhospitalized patients with unstable angina(UA)was more than 72.00%over the years.Coronary angiography was performed in 51.36%to 56.42%ACS inpatients.Percutaneous coronary intervention(PCI)treatment accounted for 9342 person-time,accounting for 27.83 to 32.01%of the total ACS hospitalization.26.32%to 30.28%of the ACS inpatients were performed Coronary stent implantation.PCI was performed in 48.21%to 54.89%of STEMI inpatients,30.90%to 33.56%of NSTEMI inpatients,and 22.33%to 27.14%of UA inpatients.ConclusionsThe main incidence of ACS in Xicheng district is NSTE-ACS.However,the proportion of patients receiving interventional therapy and revastigectomy is low.It is urgent to strengthen the prevention of cardiovascular disease and cardiac rehabilitation treatment,especially in the age population of 60-75.

关 键 词：急性冠脉综合征 冠心病二级预防 心脏康复 

分 类 号：R541.1[医药卫生—心血管疾病]