冠心病患者介入术后6个月生活质量的变化及影响因素  

Changes and influential factors of quality of life in patients with coronary heart disease after percutaneous coronary intervention for 6 months

作　　者：张安宁[1] 张海涛[2] 黄丛春[2] 孙津津[2] 于心亚[2] 田建伟[2] 王俊华[2] 罗惠兰[3] 

机构地区：[1]安徽医科大学空军临床学院,合肥230022 [2]空军总医院心血管内科 [3]空军总医院干部病房心血管内科

出　　处：《中国循证心血管医学杂志》2015年第6期833-835,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨冠状动脉粥样硬化性心脏病(冠心病)患者介入治疗术后6个月生活质量的变化及其影响因素。方法前瞻性纳入2013年4月至2014年1月在空军总医院心内科行冠状动脉造影并行支架植入术的135例冠心病患者,采用西雅图心绞痛生活质量量表(SAQ)、一般临床资料调查表分别对术前24h、术后6个月进行问卷调查。比较术前和术后6个月的生活质量的变化,同时分析影响其生活质量的可能因素。结果 135例患者治疗后6个月SAQ各项得分较治疗前24 h均显著提高(P<0.01),提示术后半年生活质量较术前显著改善;影响冠心病患者生活质量的可能因素为:冠心病类型(P=0.00),病变血管数目(P=0.005),高血压(P=0.01),糖尿病(P=0.037),高脂血症(P=0.033),吸烟(P=0.002),体质指数(P=0.006);不同文化程度术前、术后在治疗满意程度(TS)、疾病认知程度(DP)上均无统计学差异(P>0.05)。结论冠心病患者成功介入治疗术后6个月的生活质量较术前明显改善;冠心病类型、病变血管数目、高血压、糖尿病、高脂血症、吸烟、体质指数均为冠心病患者生活质量的影响因素;患者文化程度对其在治疗满意程度(TS)、疾病认知程度(DP)上无明显影响。Objective To investigate the changes and influential factors of quality of life（QOL） in patients with coronary heart disease（CHD） after percutaneous coronary intervention（PCI） for 6 months. Methods CHD patients（n=135） undergone coronary angiography（CAG） and stenting were chosen respectively from Apr. 2013 to Jan. 2014. All patients were given the survey by applying Seattle Angina Questionnaire（SAQ） and clinical general date questionnaire respectively 24 h before and 6 m after PCI. The changes of QOL were compared before PCI and after PCI for 6 m, and the possible influential factors of QOL were analyzed. Results After PCI for 6 m, all scores of SAQ were increased significantly than those 24 h before PCI in 135 patients（P〈0.01）, which indicated that QOL was increased significantly. The possible influential factors of QOL were coronary heart disease（P=0.00）, number of disease vessels（P=0.005）, hypertension（P=0.01）, diabetes（P=0.037）, hyperlipidemia（P=0.033）, smoking（P=0.002） and body mass index（BMI, P=0.006）. The treatment satisfaction（TS） and disease cognition degree（DP） had no statistical difference in patients with different educational background before and after PCI（P〉0.05）. Conclusion QOL is improved significantly in CHD patients after successful PCI for 6 m. The types of CHD, number of disease vessels, hypertension, diabetes, hyperlipidemia, smoking and BMI are influential factors of QOL. The educational background has no significant influence on TS and DP.

关 键 词：冠心病 经皮冠状动脉介入治疗(PCI) 生活质量 双心治疗 西雅图心绞痛生存质量量表(SAQ) 

分 类 号：R541.4[医药卫生—心血管疾病]