2016年~2019年太仓市中医医院晕厥患者流行病学特征

Epidemiological Characteristics of Syncope Patients in Taicang Traditional Chinese Medicine Hospital from 2016 to 2019

目的分析2016年~2019年太仓市中医医院晕厥患者发病的流行病学特征,为晕厥患者诊疗提供科学的预防措施。方法利用太仓市中医医院医院信息系统收集2016年~2019年晕厥患者一般情况及住院资料,进行流行病学分析。结果2016年~2019年太仓市中医院晕厥患者581例,女性多于男性,不同年份晕厥患者性别构成比比较,差异无统计学意义(P>0.05)。男性晕厥患者在1~80岁年龄段呈增加趋势,80岁后开始下降;而女性晕厥患者在1~40岁年龄段呈增加趋势,40岁后开始下降;不同年份晕厥患者年龄比较,差异无统计学意义(P>0.05);而不同性别晕厥患者年龄比较,差异有统计学意义(P<0.05)。2016年~2019年不同性别晕厥患者在不同月份的构成比比较,差异有统计学意义(P<0.05),其中晕厥患者以8月份病例最多,女性晕厥患者以7月份病例最多,占比6.20%;而男性晕厥患者以8月份最多,占比6.37%。2016年~2019年太仓市中医医院门急诊晕厥住院患者共有132例,占就诊总人数的22.72%,不同年限不同性别晕厥患者住院构成比较,差异有统计学意义(P<0.05);住院晕厥患者病因前3位的分别为神经介导性晕厥(37.12%)、不明原因性晕厥(22.27%)、心源性晕厥(12.88%),住院晕厥患者病因分布比较,差异有统计学意义(P<0.05)。结论2016年~2019年太仓市中医医院晕厥患者每年发病稳定,女性居多,发病具有季节性,主要集中在夏季7、8月份,发病人数跟性别及年龄段有关,住院人数较少,需加强对晕厥患者的病情评估和危险分层,加大对晕厥的宣传与教育。

Objective To analyze the epidemiological characteristics of the onset of syncope in Taicang Traditional Chinese Medicine Hospital from 2016 to 2019,and provide scientific preventive measures for the diagnosis and treatment of syncope patients.Methods The information system of Taicang Traditional Chinese Medicine Hospital was used to collect the general conditions and hospitalization data of syncope patients from 2016 to 2019,and conduct epidemiological analysis.Results From 2016 to 2019,there were 581 patients with syncope in Taicang Traditional Chinese Medicine Hospital,and there were more women than men.There was no statistically significant difference in the gender composition ratio of syncope patients in different years(P>0.05).Male patients with syncope showed an increasing trend in the age range of 1 to 80 years old,and began to decline after 80 years of age;while female patients with syncope showed an increasing trend in the age range of 1 to 40 years old,and began to decline after 40 years of age;There was no significant difference in the age of syncope patients in different years(P>0.05);The age comparison of syncope patients of different genders showed statistically significant differences(P<0.05).From 2016 to 2019,there was a statistically significant difference in the composition ratio of syncope patients of different genders in different months(P<0.05).Among them,syncope patients had the most cases in August,female syncope patients had the most cases in July,accounting for 6.20%;and male syncope patients had the most in August,accounting for 6.37%.From 2016 to 2019,there were 132 inpatients with syncope in the outpatient and emergency department of Taicang Traditional Chinese Medicine Hospital,accounting for 22.72%of the total number of patients.There was a statistically significant difference in the composition of syncope patients in different years and genders(P<0.05);The top 3 causes of syncope in hospitalized patients were neurally mediated syncope(37.12%),unexplained syncope(22.27%),and cardiogenic syncope(12.88%).There was a statistically significant difference in the distribution of causes of syncope in hospitalized patients(P<0.05).Conclusion From 2016 to 2019,the onset of syncope patients in Taicang Traditional Chinese Medicine Hospital is stable every year.Most of them are female.The onset is seasonal,mainly in July and August in summer.The number of cases is related to gender and age group,and the number of hospitalizations is relatively small.Therefore,it is necessary to strengthen the treatment of syncope.The patient's condition assessment and risk stratification,increase publicity and education on syncope.