[1]陈宁),张金盈)#,李玉东),等.完全及不完全血运重建对冠脉多支病变患者近期和远期生活质量的影响[J].郑州大学学报(医学版),2014,(02):268.
 CHEN Ning,ZHANG Jinying,LI Yudong,et al.Effect of complete or incomplete revascularization strategies on shortterm and longterm quality of life of patients with multivessel coronary artery disease[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2014,(02):268.
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完全及不完全血运重建对冠脉多支病变患者近期和远期生活质量的影响
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2014年02期
页码:
268
栏目:
应用研究
出版日期:
2014-03-20

文章信息/Info

Title:
Effect of complete or incomplete revascularization strategies on shortterm and longterm quality of life of patients with multivessel coronary artery disease
作者:
陈宁12)张金盈2)#李玉东1)杨守忠1)柴志勇1)
1)南阳市中心医院心内科 南阳 473009 2)郑州大学第一附属医院心内科 郑州 450052
Author(s):
CHEN Ning12)ZHANG Jinying2) LI Yudong1)YANG Shouzhong1) CHAI Zhiyong1)
1)Department of Cardiology, Nanyang Central Hospital, Nanyang 473009 2)Department of Cardiology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
关键词:
冠脉多支病变血运重建生活质量
Keywords:
multivessel coronary artery disease revascularization quality of life
分类号:
A
文献标志码:
R543.3
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。
Abstract:
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 intervention(PCI),and one month or one year after PCI. Results: The baseline data,such as age, gender, hypertension, diabetes, hyperlipidemia, smoking history, family history, body mass index, left ventricular ejection fraction or clinical diagnosis, had no statistical difference between the two groups(P>0.05). Among the 8 dimensions of SF36 questionnaire, except 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.

参考文献/References:

[1]Favarato ME,Hueb W,Boden WE,et al.Quality of Life in patients with symptomatic multivessel coronary artery disease: a comparative post hoc analyses of medical, angioplasty or surgical strategiesMASS Ⅱ trial[J].Int J Cardiol,2007,116(3):364 [2]何继强,玉献鹏,李全,等.SYNTAX积分用于复杂冠心病患者血运重建策略价值研究[J].中国实用内科杂志,2013,33(7):556 [3]杨立华,钟国强.SYNTAX评分对糖尿病合并复杂冠状动脉病变PCI疗效预测价值[J].中国实用内科杂志,2013,33(8):653 [4]Vieira RD,Hueb W,Gersh BJ,et al.Effect of complete revascularization on 10year survival of patients with stable multivessel coronary artery disease: MASS Ⅱ trial[J].Circulation,2012,126(11 Suppl 1):S158 [5]Grapow MT,von Wattenwyl R,Guller U,et al.Randomized controlled trials do not reflect reality:realworld analyses are critical for treatment guidelines[J].J Thorac Cardiovasc Surg,2006,132(1):5 [6]Hannan EL,Racz M,Holmes DR,et al.Impact of completeness of percutaneous coronary intervention revascularization on longterm outcomes in the stent era[J].Circulation,2006,113(20):2406 [7]李裕舒,黎明.左主干及3支病变的血运重建策略:SYNTAX研究解读[J].临床心血管病杂志,2009,25(2):83

备注/Memo

备注/Memo:
#通讯作者,男,1967年5月生,博士,教授,研究方向:冠心病的介入治疗, Email:cnzc212@126.com
更新日期/Last Update: 2014-04-23