随访对绝经后冠心病患者介入术后康复的影响  

The Effect of Intensive Follow-up Management on Rehabilitation after Percutaneous Coronary Intervention in Postmenopausal Patients with Coronary Heart Disease

作　　者：陈丽瑜[1] 李慧敏[1] 麦爱欢[1] 陈洁[1] 陈彩敏[1] 

机构地区：[1]暨南大学第二临床医学院附属深圳市人民医院心内科,深圳518020

出　　处：《数理医药学杂志》2016年第10期1539-1541,共3页Journal of Mathematical Medicine

摘　　要：目的:观察经皮冠状动脉内介入治疗(PCI)术后加强随访对绝经后冠心病患者康复的影响。方法:确诊为冠心病且行PCI的绝经后患者80例,随机分为对照组和观察组,每组40例,对照组仅给予常规出院医嘱,实验组除常规出院医嘱外加强术后随访。观察入院时和出院后1年肥胖症、高血压、高血糖、高血脂的发生率及患者出院后1年的依从性,记录出院后1年内不良心血管事件(MACE)的发生率。结果:出院后1年实验组肥胖症、高血压、高血糖、高血脂的发生率低于对照组(P<0.05),依从性优于对照组(P<0.05),MACE发生率低于对照组(P<0.05)。结论:绝经后的冠心病患者,在PCI术后加强随访,有利于控制冠心病的危险因素,提高患者的依从性,降低MACE的发生率。Objective：To observe the effect of intensive follow-up management on rehabilitation in postmenopausal patients with coronary heart disease after percutaneous coronary intervention（PCI）.Methods：Eighty postmenopausal patients who received PCI were randomly allocated to control group and observation group with 40 each.Usual discharge instructions were implemented in two groups.The observation group received intensive follow-up management except for usual discharge instructions.The incidence of obesity,hyperglycemia,hypertension and hyperlipidemia was recorded on admission and at 1year after discharge.The compliance of patients and incidence of major adverse cardiac event（MACE）were observed.Results：A year after discharge,the incidence of obesity,hyperglycemia,hypertension,hyperlipidemia and MACE was lower in observation group（P 〈0.05）.The compliance was more excellent in observation group compared with control group（P〈0.05）.Conclusion：Intensive follow-up management can promote the control of risk factors for coronary heart disease,improve the compliance of patients and reduce the incidence of MACE in postmenopausal patients with coronary heart disease after PCI.

关 键 词：随访 绝经后患者 冠心病 经皮冠状动脉内介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]