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| 血运重建对非ST段抬高急性冠脉综合征患者生活质量的影响 | |
| 引用本文： | 郭华,钟勇,江时森. 血运重建对非ST段抬高急性冠脉综合征患者生活质量的影响[J]. 临床军医杂志, 2011, 39(6): 1108-1110. DOI: 10.3969/j.issn.1671-3826.2011.06.20 |
| 作者姓名： | 郭华 钟勇 江时森 |
| 作者单位： | 1. 解放军南京军区南京总医院心脏内科干部病区 2. 解放军南京军区南京总医院干部保健科 3. 心脏内科,江苏南京,210002 |
| 摘 要： | 目的探讨血运重建对非ST段抬高急性冠脉综合征(NSTE-ACS)患者生活质量的影响。方法将559例NSTE-ACS患者分为完全血运重建组(完全介入治疗组、冠脉搭桥手术组)、不完全血运重建组(不完全介入治疗组)、单纯药物治疗组,通过SF-36生活质量量表随访2年患者的生活质量变化。结果 (1)经过2年的随访调查,发生重大心血管事件的有111例。(2)在SF-36量表中的各个维度改善情况显示,单纯药物治疗组对各个维度的改善率普遍偏低,且与其他三组相比,差异有统计学意义(P<0.01或P<0.05);而在躯体疼痛、社会功能、情感职能、精神健康、健康变化5个维度中,完全介入治疗组改善率优于冠脉搭桥手术组(P<0.05)。结论完全冠状动脉血运重建可显著改善NSTE-ACS患者远期的生活质量,完全介入治疗对躯体疼痛的改善率最高;冠状动脉搭桥对生理职能改善率最高。 |
| 关 键 词： | 非ST段抬高急性冠脉综合征 生活质量 血运重建 SF-36生活质量量表 |
The impact of coronary artery revascularization on the patient with non-ST segment elevation acute coronary syndrome |
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| Guo Hua,Zhong Yong,Jiang Shi-sen. The impact of coronary artery revascularization on the patient with non-ST segment elevation acute coronary syndrome[J]. Clinical Journal of Medical Officer, 2011, 39(6): 1108-1110. DOI: 10.3969/j.issn.1671-3826.2011.06.20 | |
| Authors: | Guo Hua Zhong Yong Jiang Shi-sen |
| Affiliation: | Guo Hua1,Zhong Yong2,Jiang Shi-sen3(1.Cadre Department of Cardiology,2.Cadre Department of Health,3.Department of Cardiology,Nanjing General Hospital of Nanjing Command,PLA,Nanjing Jiangsu 210002,China) |
| Abstract: | Objective To investigate the impact of coronary artery revascularization on the patient with non-ST segment elevation acute coronary syndrome(NSTE-ACS). Methods 559 patients who admitted to hospital with a diagnosis of non-ST segment elevation acute coronary syndrome were divided into complete revascularization group(intervention group and coronary artery bypass group),incomplete revascularization group(incomplete intervention group),and simple drug treatment group and were analyzed at baseline with 2 years... |
| Keywords: | non-ST segment elevation acute coronary syndrome quality of life coronary artery revascularization SF-36 scale of quality of life |
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