急性冠状动脉综合征376例院前急救分析

Pre-hospital care of acute coronary syndrome(376 cases reported)

目的:分析院前救治的急性冠状动脉综合征(ACS)患者的特点,为制定区域范围内ACS救治策略提供依据。方法:回顾性分析2015年1—12月镇江市急救中心救治的ACS患者的病历资料。结果:共救治376例,其中男性232例,女性144例(男:女=1.61:1),平均年龄(69.89±13.88)岁,男性平均(68.72±14.32)岁,女性平均年龄(71.78±12.98)岁(P<0.05);1年中4月人数最多,共44例(11.71%),救治患者的主要高峰时段出现在9:00~10:00(28例,7.45%);应急平均时间M(Qr)=7(4,10)min;其中5min内为155例(41.22%)。结论:镇江市老年人预防ACS需关注性别差异、气候特点,急救工作仍需改进。

Objective:To analyze the patients characteristics of pre-hospital treatment of acute coronary syndrome,and provide the basis for developing a regional scale ACS treatment strategy.Methods:Medical treatment records in Zhenjiang emergency medical center of patients with ACS.were retrospectively analysized from January 1 to December 31,2015.Results:A total of 376 ACS patients were managed,232 cases were male,female 144 cases(male:female=1.61:l),mean age(69.89±13.88) years,men average(68.72±14.32) years,women average age(71.78±12.98) years(P<0.05);the largest number in the year was in April,a total of 44 cases(11.71%) the main peak period in the treatment of patients appeared in 9:00~10:00(28 cases,7.45%);the average response time(Qr)=7(4,10)minutes;while within 5min 155 cases(41.22%).Conclusion:The prevention of ACS in Zhenjiang elderly need attention to gender differences and climate characteristic,first aid still need to be improved.