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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 characteristics of pre-hospitalized patients with acute coronary syndrome (ACS) and provide evidence for the development of regional strategies for ACS treatment. Methods: The clinical data of ACS patients treated in Zhenjiang Emergency Center from January to December in 2015 were analyzed retrospectively. Results: A total of 376 patients were treated, including 232 males and 144 females, with a mean age of 69.89 ± 13.88 years, an average of 68.72 ± 14.32 years and an average females age of 71.78 ± 12.98 ) (P <0.05). The number of patients in April was the highest (44 cases, 11.71%) in 1 year. The main peak time of treatment was in 9: 00-10: 00 (28 cases, 7.45% M (Qr) = 7 (4,10) min; 155 cases (41.22%) within 5 minutes. Conclusion: Prevention of ACS in the elderly in Zhenjiang need to pay attention to gender differences, and the climate characteristics and emergency work still need to be improved.