冠心病心绞痛患者冠脉介入治疗前后生存质量及其相关因素分析

目的分析冠心病心绞痛患者冠脉介入治疗前后的生存质量及其影响因素。 方法选择2015年1月至2017年6月内蒙古赤峰市医院行冠脉介入治疗且治疗成功的1 608例冠心病心绞痛患者，对其临床资料进行回顾性分析，比较患者介入治疗前后的生存质量评分。将治疗前后的生存质量评分作为因变量，将年龄、性别、冠脉病变血管支数、吸烟、血脂水平等作为自变量，对影响冠脉介入治疗前后生存质量的危险因素进行Logistic线性回归分析。 结果治疗后，患者的生存质量评分各维度得分均高于治疗前(P<0.05)。经Logistic线性回归分析，影响冠心病心绞痛患者冠脉介入治疗前生存质量的危险因素主要为性别、吸烟、冠脉病变血管支数，影响冠心病心绞痛患者冠脉介入治疗后生存质量的危险因素主要为年龄、血脂水平。 结论冠脉介入治疗可有效改善冠心病心绞痛患者的生存质量，但其生存质量还受到吸烟、血脂水平等因素的影响，为保证疗效，需对患者加强管理。

Quality of life and related factors in patients with coronary heart disease and angina pectoris before and after percutaneous coronary intervention

ObjectiveTo analyze the quality of life and related factors in patients with coronary heart disease and angina pectoris before and after percutaneous coronary intervention. MethodsA total of 1 608 patients with coronary heart disease and angina pectoris who underwent percutaneous coronary intervention in Chifeng Hospital from January of 2015 to June of 2017 were selected. The clinical data were reviewed and analyzed, and the quality of life before and after intervention treatment was compared. The quality of life before and after treatment was taken as a dependent variable, and age, sex, vascular branches of coronary artery, smoking and blood lipid level were used as independent variables. The Logistic linear regression analysis was carried out on the risk factors affecting the quality of life before and after percutaneous coronary intervention. ResultsAfter treatment, the scores of quality of life in all dimensions were higher than those before treatment (P<0.05). Logistic linear regression analysis showed that the main risk factors affecting the quality of life before coronary intervention were sex, smoking and coronary artery disease, and the risk factors affecting the quality of life after coronary intervention for coronary heart disease were mainly of age and blood lipid level. ConclusionPercutaneous coronary intervention can effectively improve the quality of life of patients with angina pectoris, but the quality of life is also influenced by smoking and blood lipid levels. In order to ensure the curative effect, it is necessary to strengthen the management of the patients.