不同年龄段心脏介入手术患者生存质量的影响因素分析  

Analysis of influence factors of survival quality in cardiac intervention patients of different age

作　　者：梁友玲[1] 

机构地区：[1]烟台市莱阳中心医院心内科,山东省莱阳265200

出　　处：《中国基层医药》2012年第23期3552-3554,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨不同年龄段心脏介入手术患者生存质量的影响因素。方法将96例行心脏介入手术治疗的患者按年龄分为三组（少年组，中年组，老年组），采用生存质量量表（SAQ）和患者一般情况调查表分别于治疗前24h、治疗后3个月痛患者进行问卷调查，并同时检测血清生化指标，应用非条件Logistic回归分析进行多因素分析。结果治疗前后三组患者生存质量量表SAQ平均评分差异均有统计学意义（均P〈0．05）。多因素分析结果表明：少年组患者中TC及LDL是影响生存质量的独立危险因素；中年组患者中高血压史、吸烟史、TC、LDL是影响生存质量的独立危险因素，HDL是保护因素；老年组患者中高血压史、糖尿病史、吸烟史、TG、TC及LDL是影响生存质量的独立危险因素，HDL是保护因素。结论不同年龄段患者心脏介入手术后生存质量均受到TC及LDL影响，而HDL是保护因素；成年患者亦受到高血压病史、糖尿病史、吸烟史等影响。Objective To explore the influence factors of survival quality in cardiac intervention patients of different age. Methods 96 patients with routine cardiac interventional surgery were divided into three groups by age （ the juvenile group, the middle-aged group, the elderly group ）. All the patients were surveyed by the Quality of life scale（SAQ） and questionnaire sheet of the general condition of patients 24h before treatment, 3 months after treat- ment, respectively. The serum biochemical indicators were also detected, and the multivariate analysis was teken by the non-conditional logistic regression analysis. Results The differences of the average score of SAQ in the patients of three groups before and after treatment were statistically significant（ all P 〈 0.05 ）. Multivariate analysis showed that TC and LDL were independent risk factors affecting the quality of life in juvenile patients ; the history of hypertension, smoking history,TC, LDL were independent risk factors affecting the quality of life in middle-aged patients, and HDL was the protective factor;the history of hypertension, history of diabetes, history of smoking,TG,TC and LDL were in- dependent risk factors that affected the quality of life in elderly patients, and HDL was the protective factor. Conclusion TheThe survival quality of cardiac intervention patients of different age was influenced by TC and LDL, while HDL is the protective factor; adult patients was also impacted by the history of hypertension, history of diabetes, smoking history.

关 键 词：心脏 介入 生存质量 影响因素 

分 类 号：R541[医药卫生—心血管疾病]