摘要
目的:探究急性冠脉综合征(ACS)症状识别及其前驱症状的性别差异。方法:2019年1-12月收治ACS患者230例,采用问卷调查,记录患者对ACS识别、ACS发作急性症状、前驱症状及合并症等情况,统计分析ACS前驱症状的性别差异。结果:ACS发作时患者可识别症状主要以胸痛为主(60.87%),其次为出汗(36.96%);ACS发作时未意识到症状占34.78%;ACS患者疼痛及不适主要集中在胸部(52.17%)、两肩胛或肩胛下(51.30%);女性发生上胸部、背部及两肩胛间、颈部及双上肢疼痛的比例显著高于男性,差异有统计学意义(P<0.05);在非典型症状方面,女性虚弱、心率加快、呼吸急促及头晕的比例显著高于男性,差异有统计学意义(P<0.05)。结论:ACS症状复杂、多样,存在明显的性别差异,患者对前驱症状存在不确定性,应给予重视。
Objective:To explore symptom recognition of acute coronary syndrome(ACS)and gender differences of prodromal symptoms.Methods:From January to December 2019,230 patients with ACS were selected.Questionnaire survey was used to record the recognition of ACS,acute symptoms,prodrome symptoms and complications of ACS,and gender differences in prodrome symptoms were statistically analyzed.Results:During the onset of ACS,chest pain was the main recognized symptom(60.87%),followed by sweating(36.96%).34.78%were unaware of the symptoms of ACS.The pain and discomfort of ACS patients were mainly concentrated in chest(52.17%),both scapulae or subscapulae(51.30%).The proportion of upper chest,back,interscapular,neck and upper limb pain in women was significantly higher than the men,with the differences were statistically significant(P<0.05).In terms of atypical symptoms,women had significantly higher rates of weakness,increased heart rate,shortness of breath and dizziness than men,with the differences were statistically significant(P<0.05).Conclusion:The symptoms of ACS are complex and varied,and there are obvious gender differences.The prodromal symptoms are uncertain in patients,and attention should be paid to them.
作者
王道正
Wang Daozheng(Emergency Internal Medicine,People's Hospital of Laixi City,Shandong Province,Shandong Laixi 266600)
出处
《中国社区医师》
2021年第13期58-59,共2页
Chinese Community Doctors
关键词
急性冠脉综合征
症状识别
前驱症状
性别差异
Acute coronary syndrome
Symptom recognition
Prodrome symptom
Gender differences
