军队离退休干部冠心病调脂治疗依从性及达标情况分析  

Compliance and the control rate of the treatment of liquid regulating for the retired cadres in the army with coronary heart disease

作　　者：李春辉[1] 邢春生[2] 李扬[1] 季瑞芬[1] 

机构地区：[1]沈阳军区总医院干部病房一科,辽宁沈阳110016 [2]辽宁省军区门诊部,辽宁沈阳110085

出　　处：《临床军医杂志》2016年第6期571-573,共3页Clinical Journal of Medical Officers

摘　　要：目的通过对沈阳军区总医院干部病房一科收治的稳定型冠心病患者的随访,评价患者出院1年后的血清胆固醇水平及血脂达标情况,为提高冠心病慢病管理质量提供依据。方法回顾性分析沈阳军区总医院干部病房一科自2012年1月1日至12月30日收治的冠心病患者的临床资料,统计所有冠心病患者的胆固醇水平及达标率,比较非糖尿病的冠心病患者与伴有糖尿病的冠心病患者在达标率上的差异。结果本研究共纳入155例患者,出院1年后,仍有151例(97.4%)患者坚持服用降脂药,其中,147例(97.4%)患者服用他汀类降脂药。糖尿病冠心病患者(n=63)的TC、TG、LDL-C水平略高于非糖尿病冠心病患者(n=92),但两组间差异均无统计学意义(P>0.05)。糖尿病冠心病患者TC、TG、LDL-C达标率(11.1%、54.0%、40.0%)明显低于非糖尿病冠心病患者(55.4%、72.8%、78.3%),差异均有统计学意义(P<0.05)。结论军队离退休干部冠心病患者,他汀类调脂药使用率及血脂达标率较高,但合并糖尿病的冠心病患者血脂达标率明显低于非糖尿病的冠心病患者,应加强对糖尿病伴冠心病患者的血脂达标情况的干预。Objective To explore the evaluation of serum cholesterol level and lipid level reached standard of patients with stable coronary heart disease（ CHD） by one year follow up,and investigate the basis for further improve the management of CHD. Methods A retrospective study was performed on 155 cases of patients with CHD received in the General Hospital of Shenyang Military Command from 1st January to 30 th December in 2012. Clinical data such as the cholesterol level and control rate of patients with CHD. Comparison of difference between CHD with complicated diabetes and CHD with non diabetes were statically analyzed by statistical software.Results There were 155 cases,aged from 60 to 101 years old,mean age（ 79. 77 ± 10. 59） years. One year after discharge,there were still 151 cases insist on taking lipid-lowering drugs（ 97. 5%）,including 147 cases who took statins（ 95%）,the mean blood lipid level：TC（ 4. 22 ± 1. 48） mmol / L,TG（ 1. 77 ± 2. 02） mmol / L,LDL-C（ 2. 22 ± 0. 86） mmol / L. There were 92 cases of non diabetic patients with CHD,TC（ 4. 10 ± 1. 09） mmol / L,TG（ 1. 61 ± 1. 62） mmol / L,LDL-C（ 2. 13 ± 0. 72） mmol / L,the control rates was55%,73% and 78%,63 cases with diabetes,TC（ 4. 41 ± 1. 90） mmol / L,TG（ 2. 01 ± 2. 48） mmol / L,LDL-C（ 2. 35 ± 1. 03） mmol /L,the control rate was 11%,54% and 40%,respectively. Conclusion In the retired cadres group,there is a higher medication and compliance rate than other patients. However,the control rate of Lipids in patients with coronary heart disease is lower than the non diabetes patients with coronary heart disease. We should pay more attention to those diabetic patients with coronary heart disease.

关 键 词：冠心病 糖尿病 依从性 达标率 

分 类 号：R541.4[医药卫生—心血管疾病]