冠心病介入术后的康复管理能显著改善预后

目的:通过对经皮冠状动脉介入(PCI)治疗后的病人的康复管理,探讨康复管理的效果。方法:选择本院心脏中心100例PCI术后患者,随机分为康复管理组(51例)和对照组(49例),康复管理组进行康复教育和随访,在我院门诊及社区随访。对照组无系统教育和随访。观察项目为患者服药依从性,血压、血脂达标情况及临床不良事件的发生率。结果:通过1年的管理和随访,发现与对照组比较,康复管理组患者服药依从性显著升高(P0.05~0.01),血压达标率(40%:80%),血脂达标率(25%:82%)显著升高(P均0.05);复发心肌梗死率(6.5%:3.4%)、心力衰竭率(4.7%:2.6%)、再住院率(11%:5%)、总死亡率(5%:2%)均显著降低(P0.05~0.01)。结论:经皮冠状动脉介入治疗后的康复管理有助于康复预防,加强冠心病的二级预防。

Rehabilitative management of patients after percutaneous coronary intervention can significantly improve prognosis

Objective：Through rehabilitative management of patients undergoing percutaneous coronary intervention（PCI）,assess the effects of rehabilitative management.Methods：A total of 100 patients undergoing PCI were collected from cardiac center of our hospital,and they were randomly divided into rehabilitative management group（51 cases）and control group（49 cases）.The patients of rehabilitative management group were received rehabilitative instruction and follow-up,but control group was without system rehabilitative management.The follow-up work was performed in our hospital and communities.The follow-up items were compliance for drug,reach target rates of blood pressure and lipid and occurrence of clinical events in patients.Results：After one year follow-up and rehabilitative management,compared with control group,the patients′ compliance for drug significantly increased（P〈0.05-〈0.01）;reach target rates of blood pressure（40% vs.80%） and of lipid（25% vs.82%）significantly increased（P〈0.05 all）;the recurrence rates of myocardial infarction（6.5% vs.3.4%）,heart failure（4.7% vs.2.6%）,re-hospitalization（11% vs.5%） and overall mortality（5% vs.2%） significantly lower in rehabilitation management group（P〈0.05-0.01）.Conclusion：Rehabilitative management after percutaneous coronary intervention treatment contributes to rehabilitative prevention,or enhances secondary prevention of coronary heart disease.