我国大中城市院前心脏性猝死流行病学调查分析
아국대중성시원전심장성졸사류행병학조사분석
The epidemiological analysis of patients in pre-hospital sudden cardiac death for our large and medium sized cities
  • 万方数据
    中国临床实用医学 중국림상실용의학
    CHINA CLINICAL PRACTICAL MEDICINE
    2010年 9期 5-7 ,共3页

    张在其%骆福添%陈兵%陈锋%公保才旦%黄力%柯俊%赖欣%李继良%李金年%林才经%刘向%陆家韬%孟庆华%宁哗%裴雅春%孙文会%熊悦安%张斌%赵兴吉%欧阳文伟%陈文标%陈玮莹%郭彦池%杨正飞%黄子通

    장재기%락복첨%진병%진봉%공보재단%황력%가준%뢰흔%리계량%리금년%림재경%류향%륙가도%맹경화%저화%배아춘%손문회%웅열안%장빈%조흥길%구양문위%진문표%진위형%곽언지%양정비%황자통

    院前急救%心脏性猝死%流行病学分析 院前急救%心髒性猝死%流行病學分析
    원전급구%심장성졸사%류행병학분석
    Pre-hospital medical care%Sudden cardiac death%Epidemiological analysis
    目的 调查我国大中城市院前心脏性猝死患者流行病学情况,探讨院前心脏性猝死病例特点.方法 我国8个大中城市急救中心系统数据库中导出2008年度全部死亡数据,就其有完整记录的资料进行统计分析.结果 ①院前心脏性猝死的调度时间、到达时间、现场时间、返回时间、总时间、急救半径分别为(2.12±1.02)min、(14.10±7.05)min、(24.79±12.08)min、(13.79±6.61)min、(54.80±25.36)min、7.90±3.92(km);②院前心脏性猝死的病例数以第一季度为最多,且最多时间段是8:00～10:00,最少时间段是2:00～4:00;③男性院前心脏性猝死明显多于女性,但年龄明显小于女性;④院前心脏性猝死目击者CPR为4.48%,医护人员现场CPR成功率2.26%.结论 ①心脏性猝死已成为我国大中城市最常见的院前死亡原因;②加强心血管病防治,提高中老年患者的常见急危重症早期识别与院前急救水平以及普及公众CPR对降低死亡有重要意义.
    목적 조사아국대중성시원전심장성졸사환자류행병학정황,탐토원전심장성졸사병례특점.방법 아국8개대중성시급구중심계통수거고중도출2008년도전부사망수거,취기유완정기록적자료진행통계분석.결과 ①원전심장성졸사적조도시간、도체시간、현장시간、반회시간、총시간、급구반경분별위(2.12±1.02)min、(14.10±7.05)min、(24.79±12.08)min、(13.79±6.61)min、(54.80±25.36)min、7.90±3.92(km);②원전심장성졸사적병례수이제일계도위최다,차최다시간단시8:00～10:00,최소시간단시2:00～4:00;③남성원전심장성졸사명현다우녀성,단년령명현소우녀성;④원전심장성졸사목격자CPR위4.48%,의호인원현장CPR성공솔2.26%.결론 ①심장성졸사이성위아국대중성시최상견적원전사망원인;②가강심혈관병방치,제고중노년환자적상견급위중증조기식별여원전급구수평이급보급공음CPR대강저사망유중요의의.
    Objective To investigate the epidemiological information of patients in pre-hospital sudden cardiac death for our large and medium-sized cities and probe the patients' characteristic. Methods The death data in 2008 were exported from the computer databases of 8 large and medium-sized cities' emergency medical centers in our country. The thorough records of death data were conducted to statistical analysis. Results ①The scheduling time, running time, rescue time, returning time, total time and service radius in the sudden cardiac death group were (2. 12 ± 1.02 ), ( 14. 10 ± 7. 05 ), (24. 79 ± 12.08 ), ( 13.79 ± 6.61 ), (54. 80 ± 25. 36 ) minutes and 7.90 ± 3.92 (km)respectively. ②The patients' amount of sudden cardiac death group was at most in first quarter, and the most time slice of patients' amount was 8:00 ～ 10:00, and the least time slice of patients' amount was 2:00 ～ 4:00. ③The sudden cardiac death amount of male patients was more than that of female patients, and its age was less than that of female patients. ④The percentage of witness' CPR was 4.48%, and the success rates of medical care personnel' CPR was 2. 26%. Conclusion ①The sudden cardiac death is the overriding reason of death in our large and medium-sized cities. ②It is very important to cut the death rate of the middle-old age patients by strengthening prevention and cure of cardiovascular diseases, discerning the critical illness early,improving the level of pre-hospital medical care and popularizing CPR to public.
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