急性胸痛患者呼叫急救医疗服务的分布特征和院前延迟现状

doi:10.3969/j.issn.1002-1949.2018.11.007

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摘要目的探讨北京地区急性胸痛患者呼叫急救医疗服务（emergency medical services, EMS）的分布特征及院前延迟现状。方法连续入选2014-01-01~2015-12-31期间北京地区呼叫某EMS的急性胸痛患者，通过调取EMS调度中心的全智能数字化指挥平台数据精确获取患者的社会人口学特征、呼叫EMS的地点、呼叫EMS的时间和院前救治时间点。院前延迟细分为患者延迟和EMS转运延迟。结果北京地区呼叫某EMS的急性胸痛患者共28 090例，占所有呼叫EMS患者的4.7%；随着年龄的增长，呼叫EMS的急性胸痛患者增多。城区发病的胸痛患者呼叫EMS更多（72.0%），冬季、工作日、晨起和傍晚是急性胸痛患者使用EMS的高峰。急性胸痛患者院前延迟的中位时间为180（113，720）min，其中患者延迟的中位时间为96（24，662）min，EMS转运延迟的中位时间为78（58，101）min，分别占院前延迟的 53.1%和46.9%，而交通时间（74.6%）是EMS转运延迟的主要部分。结论急性胸痛患者呼叫EMS具有地区差异和时间节律，患者延迟和交通延迟是影响院前救治的主要环节，提示加强患者宣教和改善交通可能在一定程度上缩短院前延误。

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	伍满燕
	黄文凤
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	李素芳
	崔淯夏
	陈红

关键词 ：急性胸痛, 急救医疗服务（EMS）, 院前延迟 

基金资助:首都卫生发展科研专项项目（2139000027）

通讯作者: 陈红（1960-），女，博士，主任医师，科主任，博士生导师，E-mail：chenhongbj@medmail.com.cn。

作者简介: 伍满燕（1987-），女，博士，住院医师，E-mail：manyan_150@126.com。

引用本文:

伍满燕，黄文凤，李忠佑，宋俊贤，李素芳，崔淯夏，陈红. 急性胸痛患者呼叫急救医疗服务的分布特征和院前延迟现状[J]. 中国急救医学, 2018, 38(11): 953-957.
Wu Man-yan, Huang Wen-feng, Li Zhong-you, Song Jun-xian, Li Su-fang, Cui Yu-xia, Chen Hong. Characteristics and pre-hospital delay among patients who call for emergency medical services due to chest pain. Chinese Journal of Critical Care Medicine, 2018, 38(11): 953-957.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2018.11.007 或 http://www.cnemergency.org.cn/CN/Y2018/V38/I11/953

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