猝死危险因素回顾性分析与干预对策.临床急诊杂志.docVIP

猝死危险因素回顾性分析与干预对策 姜大鹏 张利远 王明明 【摘要】 目的 通过分析猝死的高危因素，早期识别高危人群，探讨预防猝死干预对策，从而减少猝死发生。方法 对近三年来我院急诊收治的288例猝死患者的性别及年龄、死亡时间、季节、基础疾病、诱发因素、猝死原因六方面临床资料进行回顾性分析。结果 猝死患者中男性明显多于女性，男女比例约为2.74：1，其中40~79岁男性占55.2%。猝死发生时间在24h分布有两个高峰，分别在早7~9时和晚7~9时。猝死发生季节以第一.四季度较高。猝死基础疾病中心血管疾病占76.4%。猝死有明确诱因119例，其中过劳占12.8%，其次与情绪、饮酒、吸烟相关。心脑血管疾病占猝死原因的68.8%。结论 患有心脑血管基础病的40岁以上男性是猝死高危人群，应加强这类高危人群在冬末春初的防猝死干预，包括戒烟戒酒，保持良好心情，避免过度疲劳，适当体育锻炼及健康教育与定期体检。 【关键词】 猝死 危险因素 干预对策 中图分类号：R54 文献标识码：A The retrospective analysis and intervention strategies for the risk factors of sudden death JIANG Da-peng,ZHANG Lli-yuan,WANG Ming-ming Department of emergency center, RenMin Hospital Affiliated to JangSu University, ZhenJiang 212000, China Corresponding author：ZHANG Li-yuan, Email：zly8824662@ 【Abstract】Objective To analyse the risk factors of sudden death(SD), identify the high-risk groups earlier and explore the intervention strategies in order to reduce SD occurred. Methods The clinical data of 288 cases of SD patients admitted in emerg- ency department of our hospital nearly three years were retrospectively analyzed. Information on genders,age,the time of death,seasons, basic diseases, inducing factors, causes of SD. Results More male than female significantly in patients with SD,the gender ratio was 2.74:1,male of age 40~79 had the highest incidence of SD which accounts of 55.2%. SD occurred in 24 hours distribution has two peak times，were 7 to 9 am and 7 to 9 pm.Higher incidence of SD occurred in the first and the forth seas- ons.Cardiovascular diseases were main SD basic diseases(accounting for 76.4%). 119 cases of SD had explicit inducing factors,including over fatigue,emotion,drinking and —————————— 作者单位：212000 江苏省镇江，江苏大学附属人民医院急诊中心 通信作者：张利远，Email:zly8824662@ smoking. Cardiovascular and cerebrovascular diseases accounted for 68.8% of causes of SD. Conclusion Male over the age of 40 with basic diseases of Cardiovascular and cerebrovascular disease