家庭随访指导康复训练对冠状动脉支架置入术后患者的影响  

Influence of rehabilitation training guided by family follow-up on patients after coronary stenting

作　　者：杨世东[1] 张艳春[1] YANG Shi-dong;ZHANG Yan-chun(Department of Cardiovasology, First Hospital of Jilin University, Changchun 130021, China)

机构地区：[1]吉林大学第一医院心血管内科,长春130021

出　　处：《中国循证心血管医学杂志》2016年第4期477-479,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的 评价家庭随访指导康复训练对冠状动脉支架置入患者术后的影响。方法 选取2012年6月~2014年12月吉林大学第一医院心血管内科行冠状动脉支架置入术的患者102例，其中男性72例。随机分为常规组和随访组各51例。随访组通过随访接受指导的康复训练运动，服药以及生活方式的健康宣教，常规组仅接受出院指导。出院时、出院1年后检测三酰甘油（TG）、总胆固醇（TC）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）、收缩压（SBP）、舒张压（DBP）的变化情况；记录患者出院1年后的吸烟、饮酒、低盐饮食、低脂饮食的比例和心脏事件发生情况。结果 出院1年后，与常规组比较，随访组TC、血压下降，HDL-C升高，[（5.26±1.12）mmol/L vs. （4.30±0.94）mmol/L]、[（137.6±11.6）mmHg vs. （129.8±10.3）mmHg]、[（84.2±9.3）mmHg vs. （75.9±10.0）mmHg]、[（1.20±0.19）mmol/L vs. （1.37±0.15）mmol/L]，差异具有统计学意义（P均＜0.05）。出院1年后，与常规组比较，随访组的吸烟比例（23.53% vs. 3.92%）、饮酒比例（31.37% vs. 7.84%）均降低，低脂饮食比例（92.16% vs. 74.51%）、低盐饮食比例（94.12% vs. 70.59%）升高，差异具有统计学意义（P均＜0.05）。随访组患者出院1年内心脏事件发生率显著低于常规组（9.80% vs. 25.49%），差异具有统计学意义（P＜0.05）。结论 家庭随访指导康复训练对冠状动脉支架置入患者术后的生活习惯、血脂、血压改善具有积极意义，并且降低术后心脏事件的发生率。Objective To review the influence of rehabilitation training guided by family follow-up onpatients after coronary stenting. Methods The patients undergone coronary stenting (n=102) were chosen fromJun. 2012 to Dec. 2014, and randomly divided into routine group and follow-up group (each n=51). The followupgroup was given rehabilitation training through following up, medication and education of life style, and routinegroup was only given discharge guidance. The changes of triglyceride (TG), total cholesterol (TC), high-densitylipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), systolic blood pressure (SBP) anddiastolic blood pressure (DBP) were detected at the time of discharge and 1 y after discharge. The percentagesof patients with smoking, drinking, low-salt diet and low-fat diet, and incidence of cardiac events were recorded.Results Compared with routine group 1 y after discharge, TC and blood pressure decreased, and HDL-C increasedin follow-up group [(5.26±1.12) mmol/L vs. (4.30±0.94) mmol/L]、[(137.6±11.6) mmHg vs. (129.8±10.3)mmHg]、[(84.2±9.3) mmHg vs. (75.9±10.0) mmHg]、[(1.20±0.19) mmol/L vs. (1.37±0.15) mmol/L, all P<0.05].Compared with routine group 1 y after discharge, the percentages of smoking patients (23.53% vs. 3.92%) anddrinking patients (31.37% vs. 7.84%) decreased, and percentages of patients with low-fat diet (92.16% vs. 74.51%)and low-salt diet (94.12% vs. 70.59%) increased in follow-up group (all P<0.05). The incidence of cardiac eventswas significantly lower in follow-up group than that in routine group (9.80% vs. 25.49%) within 1 y after discharge(P<0.05). Conclusion The rehabilitation training guided by family follow-up is positively significant to life style,blood fat and blood pressure in the patients after coronary stenting, and can reduce the incidence of cardiac events.

关 键 词：家庭随访 康复训练 冠状动脉支架 心脏事件 

分 类 号：R541.4[医药卫生—心血管疾病]