目的：探讨降阶梯思维在非创伤性胸痛老年患者急诊分诊中的应用。方法选取重庆市某三级甲等医院急诊科就诊的非创伤性胸痛老年患者220例，对非创伤性胸痛老年患者基于降阶梯思维进行分诊。观察非创伤性胸痛老年患者急诊分诊准确率及患者满意度。结果非创伤性胸痛老年患者实施降阶梯思维后病情分级正确率为95.9%、分诊去向正确率为92.7%，患者满意度得分＞60分（高水平）占87.9%，得分45～60分（中水平）占11.4%，得分＜45分（低水平）占0.7%。结论非创伤性胸痛老年患者急诊分诊运用降阶梯思维，分诊准确率较高，确保患者及时救治，患者满意度较高。

Objective To discuss the effect of de-escalation thinking in the triage of seniors with non-traumatic chest pain. Methods The triage of 220 elderly patients with non-traumatic chest pain in emergency department of one Class Ⅲ Grade Ⅰhospital was conducted