摘要
目的分析成年成年猝死患者的病因和猝死时间,为预防成年患者猝死提供临床依据。方法对2008年10月1日—2012年10月30日马鞍山市十七冶医院院257例成年猝死患者的临床资料进行回顾性分析。设定三餐就餐时间:早餐时间6:30—8:30,中餐时间11:00—13:00,晚餐时间18:30—20:30;根据猝死时间是否在就餐时间内分2组,并根据不同就餐时间分3组,组间进行比较;猝死年龄以60岁为界分2组,2组间率的比较采用χ2检验,P<0.05为差异有统计学意义。结果 257例猝死患者60岁以上(大于60岁者)183例(71.21%);小于等于40岁者15例(5.84%);有冠心病者124例(48.24%),有糖尿病者88例(34.24%),有高血压者75例(29.18%);有脑卒中者61例(23.74%),不明原因者52例(20.23%),有慢性阻塞性肺病者26例(10.12%),有癫痫者10例(3.89%);小于等于40岁者(总15例)以不明原因死亡者11例;60岁以上组猝死183例,其中猝死时间为就餐时间89例(48.08%),60岁以下组猝死74例,猝死时间为就餐时间29例(39.19%),2组间χ2检验,χ2=14.77,P<0.01。结论成年猝死患者以60岁以上多见,有冠心病、高血压、糖尿病者多见;年青猝死者以不明原因死亡者多见;年老患者猝死时间以就餐时间多见,故就餐可能是猝死的诱发因素之一。
Department of Neurology, Seventeen Ye Hospital, Maanshan 243000 ,Anhui , China Abstract ： Objective To investigate the cause and the time of sudden death of adult patients. Methods Cases of sudden death occurred from October 1,2008 to October 30,2012 of our hospital were retrospectively analyzed. Results Sudden death in patients over 60 years old in 183 cases（71.21% ） ;15 cases were less than or equal to 40 years old（5.84% ） ; 124 cases with coronary heart disease （48.24%）, 88 cases of diabetes mellitus （ 34.24% ）, 75 cases of hypertension （29.18 % ） ;cerebral stroke in 61 cases （23.74%） ,52 cases of unknown causes （20.23 % ）, chronic obstructive pulmona- ry disease in 26 cases （ 10. 12% ）, 10 cases of epilepsy （3.89%） ;the cause of unexplained death was happened in pa- tients whose age was less than 40 years old（ 15 cases in 11 cases） ;the death time of 60 years old was dinner time in 89 cases （ total 183 cases） accounted for 48.08%, another group of 29 patients（ total 74 cases） of 39.19%, x2 = 14.77 ,P 〈 0.01. Conclusion In adult sudden death,the most age of patients was over 60 years old, most of patients accompanied with coronary heart disease,diabetes mellitus and hypertension, but there were unexplained deaths in young adults. Most sudden death time was meal time in elderly patients.
出处
《中华全科医学》
2014年第8期1260-1262,共3页
Chinese Journal of General Practice
关键词
成年患者
猝死
进餐
分析
Adult patients
Sudden death
Meal
Analysis
