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目的:探讨镇江地区猝死患者的流行病学特征,提出预防猝死的可行性建议。方法:采用回顾性分析方法,分析2011年1月1日—2012年12月31日由镇江市急救中心实施院前救治所有猝死病例。分析内容包括猝死患者的性别、年龄、月分布、时间分布及目击者实施CPR等。结果:2011和2012年男性猝死分别为134例和178例,女性分别为66例和84例,男女相比无显著差异。男性猝死的平均年龄显著小于女性(P<0.05)。猝死高发年龄段在80岁左右。总体上1月份猝死发生率最高,4月、7月、11月、12月份也是猝死高发时期。猝死最高发时段在8:00~10:00,而16:00~20:00也是猝死的高发时段,猝死患者在时间段分布上无显著差异。462例中,仅13例(2.81%)由目击者实施了CPR。结论:镇江地区猝死有区域性规律,预防猝死应根据性别、季节及时段特点采取措施,同时大力普及推广心肺复苏技术,挽救猝死患者生命。
Objective: To investigate the epidemiological characteristics of sudden death in Zhenjiang area and put forward the feasibility of preventing sudden death. Methods: A retrospective analysis method was used to analyze all cases of sudden death in pre-hospital treatment implemented by Zhenjiang Emergency Center from January 1, 2011 to December 31, 2012. The analysis included the sex, age, month distribution, time distribution and eyewitness CPR among sudden death patients. Results: There were 134 cases and 178 cases of sudden death in men and women in 2011 and 2012 respectively. There were 66 cases and 84 cases of female respectively. There was no significant difference between men and women. The mean age of sudden death in males was significantly less than that in females (P <0.05). The high incidence of sudden death in the age of 80 years old. Overall, the highest incidence of sudden death in January, April, July, November, December is also the period of high incidence of sudden death. The highest incidence of sudden death in the period of 8: 00 ~ 10: 00, and 16: 00 ~ 20: 00 is also a high incidence of sudden death, sudden death in patients with no significant differences in the distribution of time. Of the 462 cases, only 13 (2.81%) performed eyewitness CPR. Conclusion: There is a regional law of sudden death in Zhenjiang. Measures to prevent sudden death should be taken according to the characteristics of sex, season and time. At the same time, the cardiopulmonary resuscitation technique should be widely popularized to save the lives of sudden death patients.