Retrospective analysis and prevention of the risk factors of 288 cases of sudden death
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摘要: 目的:通过分析猝死的高危因素,早期识别高危人群,探讨猝死的预防,从而减少猝死发生。方法:对近3年来我院急诊收治的288例猝死患者的性别、年龄、死亡时间、季节、基础疾病和诱发因素共6方面的猝死原因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24 h分布有2个高峰,分别在7:00~9:00和19:00~21:00。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%。有明确诱因的猝死病例119例,其中因过度劳累引发的猝死占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猝死预防,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。Abstract: Objective:This study was designed to analyze the risk factors of sudden death(SD) and to identify the high-risk groups in order to explore the prevention and reduction of sudden death.Method:The clinical data of 288 cases of SD patients admitted in emergency department of our hospital nearly three years were retrospectively analyzed.Information including genders,age,the time of death,seasons,basic diseases,inducing factors were retrospectively analyzed.Result:There were significant more male patients than female patients in our study,and the gender ratio was 2.74:1.Male patients aged 40~79 had the highest incidence of SD which accounts of 55.2%.The onset of SD had two peak times and were 7~9AM and 7~9PM respectively.Higher incidence of SD occurred in the first and the forth seasons.Cardiovascular diseases were main cause of SD and were accounted for 76.4%.119 cases of SD had explicit inducing factors,including over fatigue,emotion,drinking and smoking.Cardiovascular and cerebrovascular diseases accounted for 68.8% of SD causes.Conclusion:Male over the age of 40 with cardiovascular and cerebrovascular diseases were high-risk group of SD.This group of people should be strengthened to prevent the SD in the end winter and early spring,including quit smoking and drinking,keep a good mood,avoid over fatigue,physical exercise appropriately,health education and periodic physical examination.
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Key words:
- sudden death /
- risk factors /
- prevention
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