摘要
目的:比较完全及不完全血运重建对冠脉多支病变(MVD)患者近期和远期生活质量的影响。方法:选择经冠脉造影证实为MVD的患者210例,完全血运重建(CR)103例,不完全血运重建(IR)107例。分别于术前、术后1个月及术后1 a,采用SF-36生活质量调查问卷对患者进行调查。结果:两组患者的年龄、性别构成、高血压、糖尿病、高脂血症及吸烟史和家族史、体重指数、左室射血分数及临床诊断等基线情况差异均无统计学意义(P>0.05)。SF-36生活质量量表8个维度中,除总体健康状况外,术后1个月及术后1 a两组在躯体功能、机体疼痛、心理健康、生命力、社会功能、情感角色和躯体角色7个维度的评分均较术前明显提高(P<0.05),并且CR组这7个维度的评分均高于IR组(P<0.05)。结论:CR对MVD患者近期和远期生活质量的改善效果优于IR。
Aim：To compare the effects of complete or incomplete revascularization strategies on short-term and long-term quality of life of patients with multivessel coronary artery disease （ MVD） .Methods：A total of 210 patients with MVD were sampled,and 103 received complete revascularization （CR） and 107 received incomplete revascularization （IR）.The Short-Form 36（SF-36） was carried out to evaluate the quality of life of the patients before percutaneous coronary interven -tion（PCI）,and one month or one year after PCI.Results： The baseline data,such as age, gender, hypertension, diabe-tes, hyperlipidemia, smoking history, family history, body mass index, left ventricular ejection fraction or clinical diagno-sis, had no statistical difference between the two groups （P＆gt;0.05）.Among the 8 dimensions of SF-36 questionnaire, ex-cept the overall health status dimension , the scores of the other 7 dimensions one month and one year after PCI , including physical function, bodily pain, mental health,vitality, social function, emotional role and physical role, were higher than those before PCI（P〈0.05）,and the scores of the 7 dimensions of CR group were higher than those of IR group （P〈0.05）.Conclusion：The improvement in short-term and long-term quality of life of patients with MVD of CR might be more significant than patients with MVD of IR .
出处
《郑州大学学报（医学版）》
CAS
北大核心
2014年第2期268-270,共3页
Journal of Zhengzhou University(Medical Sciences)
关键词
冠脉多支病变
血运重建
生活质量
multivessel coronary artery disease
revascularization
quality of life
