EQ-5D量表评价急性ST段抬高型心肌梗死患者治疗前后的生活质量  

Evaluating quality of life before and after treatment of acute ST segment elevation myocardial infarction using EuroQol 5 dimensions

作　　者：俎德玲[1] 郑家胜[1] 诸葛毅[2] 屠晓鸣[1] 金奇志[1] 程科云[1] 高珍艳[1] 

机构地区：[1]浙江省衢州市人民医院心内科,324000 [2]衢州职业技术学院医学院

出　　处：《心电与循环》2015年第3期178-180,共3页Journal of Electrocardiology and Circulation

基　　金：衢州市科技计划资助项目(2013J043)

摘　　要：目的评价ST段抬高型急性心肌梗死患者经皮冠状动脉介入(PCI)与药物治疗后生活质量的变化。方法急性ST段抬高型心肌梗死患者1 05例,分别于入院时及PCI术与药物治疗1个月后行EQ-5D量表测试。结果 ST段抬高型心肌梗死患者治疗前后EQ-5D量表的5个维度分值分别为,行动能力2.68±047vs1.48±0.50,自我照顾能力2.80±0.40vs1.45±0.50,日常活动能力2.74±0.44 vs 1.43±0.50,疼痛或不舒服3.00±0.00 vs 1.45±0.50,焦虑或抑郁2.81±0.39vs 1.56±0.66(均P<0.01);直观式健康量表得分为45.30±6.51 vs 72.54±6.35(P<0 01)。结论急性ST段抬高型心肌梗死患者PCI术与药物治疗1个月后生活质量明显改善。Objective To evaluate the changes of life quality in patients with acute ST segment elevation myocardial infarction（STEMI） after treatment with percutaneous coronary intervention（PCI） and drugs. Methods EuroQol-5- dimension（EQ-5D） was administered in 105 patients with STEMI on admission and one month after treatment with PCI and medicines. Results The EQ-5D scores before and after treatment in patients with STEMI were：mobility 2.68 ±0.47 vs 1.48 ± 0,50 （P〈 0,01） ; self-care 2,80 ± 0.40 vs 1.45 ± 0.50 （P〈0.01） ; usual activities 2.74 ± 0.44 vs 1.43 ± 0.50 （P〈0.01） pain/discomfort 3.00 ±0.00 vs 1.45 ± 0.50 （P〈0.01）;anxiety/depression 2.81 ± 0.39 vs 1.56 ±0.66 （P〈0.01）. The EQ-VAS scores were 45.30 ±6.51 and 72.54 ±6.35, respectively, before and after treatment （P〈0.01）, Conclusion The quality of life in patients with STEMI is improved obviously one month after PCI and drug therapy.

关 键 词：欧洲五维健康量表 健康相关生活质量 急性ST段抬高型心肌梗死 经皮冠状动脉介入 

分 类 号：R542.22[医药卫生—心血管疾病]