急性冠脉综合征介入术后心电图变化与生存质量的相关性

目的:探讨急性冠脉综合征(ACS)介入术后心电图变化与生存质量的相关性。方法:将2010年4-8月ACS介入术后的200例患者随机分为干预组100例和对照组100例。对照组给予常规的术后治疗和复查随访,干预组除常规的术后治疗和复查随访外,在术后3个月、半年、1年复查心电图、动态心电图、运动平板心电图,根据检查结果制定介入术后个性化治疗、心理辅导和康复运动方案,指导患者用药和运动、工作及生活等。比较两组患者术后3个月、半年、1年的生存质量。结果:在术后3个月干预组的生存质量SF-36及SAQ评分与对照组比较差异无统计学意义(P>0.05);在术后半年和1年干预组的生存质量SF-36及SAQ评分显著优于对照组,差异有统计学意义(P<0.05或P<0.01)。结论:通过建立ACS介入术后生物-心理-社会的心脏康复模式,提前干预,及早预防并发症和新的不良心脏事件,可改善患者远期预后,提高生存率,全面促进心脏康复,提高和改善患者生存质量。

The correlational research about quality of life and electrocardiogram change in acute coronary syndrome under interventional therapy

Objective To investigate the relationship between quality of life and electrocardiographic changes after interventional therapy in patient with acute coronary syndrome(ASC).Methods 200 ASC cases under interventional therapy were collected from April to August 2010 and then randomly divided into experimental group(100 cases) and control group(100 cases).Routine post-surgery treatment and follow-up were done in control group.In experimental group,individualized treatment,psychological counselling and rehabilitation programmes were provided to guide patients according to the results of ECG,Holter ECG,exercise treadmill electrocardiogram for three months,half a year,a year after interventional therapy.The quality of life for three months,half a year,a year after interventional therapy were compared between these two groups.Results Not significant difference of quality of life(evaluated by SF-36 and SAQ scoring) was found between these two groups three months after the interventional treatment(P > 0.05).For six months and one year after interventional treatment,the quality of life(evaluated by SF-36 and SAQ scoring)was significantly improvement in experimental group than in control groups(P < 0.05 and P < 0.01,respectively).Conclusion Through the establishment of bio-psycho-social rehabilitation model for ACS patients after Interventional treatment,we can prevent the complications early,elevate survival and quality of life for patients with ASC.