心肌梗死患者介入治疗后心脏康复干预因素分析  

Analysis of intervention factors for cardiac rehabilitation in patients with myocardial infarction after interventional therapy

作　　者：张玲芳[1] 盛洋[1] 莫一鹏[1] 方金 ZHANG Lingfang;SHENG Yang;MO Yipeng;FANG Jin(Department of Intervention,Tongde Hospital of Zhejiang Province,Hangzhou310012,China)

机构地区：[1]浙江省立同德医院介入科,浙江杭州310012

出　　处：《中国现代医生》2021年第28期103-106,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2018ZB028)。

摘　　要：目的心肌梗死患者介入治疗后心脏康复干预因素分析。方法选择2018年1月至2020年6月在我院因急性心肌梗死行PCI治疗的252例患者的临床资料进行回顾性分析。根据患者是否进行心脏康复干预分为干预组65例与未干预组187例。收集患者一般资料及临床资料,包括性别,年龄,文化程度,社会支持情况,出院时对急性冠脉综合征的认知调查结果,体质量指数,既往病史(高血压、糖尿病、血脂异常),吸烟史,饮酒史,冠心病家族史,费用支付方法等。单因素及多因素分析影响患者介入治疗心脏康复干预的相关因素。结果①单因素分析结果显示,年龄<40岁、大专及以上文化程度、社会支持良好、冠心病认知情况良好、医保/社保/商业保险支付的患者介入治疗后心脏康复干预率较高,差异有统计学意义(P<0.05)。②多因素分析结果显示,年龄对患者介入治疗后心脏康复有负性影响,而文化程度高、社会支持良好、冠心病认知情况良好、医保/社保/商业保险支付费用对患者介入治疗后心脏康复干预有正性影响(P<0.05)。结论目前我院心肌梗死患者介入治疗后心脏康复干预率还相对较低。患者年龄越大,干预率越低。文化程度越高、对冠心病认知情况良好、社会支持良好、医保/社保/商业保险的患者干预率越高。Objective To analyze the intervention factors of cardiac rehabilitation in patients with myocardial infarction after interventional therapy.Methods The clinical data of 252 patients who underwent PCI treatment for acute myocardial infarction in our hospital from January 2018 to June 2020 were selected for retrospective analysis.According to whether the patients underwent cardiac rehabilitation intervention,they were divided into intervention group(65 cases)and non-intervention group(187 cases).The patient general information and clinical data,including gender,age,education level,social support,cognitive survey results of acute coronary syndrome at discharge,body mass index,past medical history(hypertension,diabetes,dyslipidemia),smoking history,drinking history,family history of coronary heart disease,payment method,etc.Single-factor and multiple factors analysis was used to explore related factors affecting patients’cardiac rehabilitation after interventional therapy.Results 1.The results of the univariate analysis showed that patients aged<40,college degree or above,good social support,good cognition of coronary heart disease,and medical insurance/social insurance/commercial insurance paid patients had higher cardiac rehabilitation intervention rate after interventional therapy.The difference was statistically significant(P<0.05).2.The results of the multi-factor analysis showed that age had a negative effect on patients'cardiac rehabilitation after interventional therapy,while high education level,good social support,good knowledge of coronary heart disease,medical insurance/social insurance/commercial insurance payment had a positive effect on cardiac rehabilitation intervention after interventional therapy(P<0.05).Conclusion At present,the intervention rate of cardiac rehabilitation for patients with myocardial infarction in our hospital is relatively low after interventional therapy.The older the patient,the lower the intervention rate.The higher the education level,the better the understanding of coronar

关 键 词：心肌梗死 急性冠脉综合征 介入治疗 心脏康复 

分 类 号：R542.2[医药卫生—心血管疾病]