CAJ | 학술논문

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。
목적：비교완전급불완전혈운중건대관맥다지병변（ MVD）환자근기화원기생활질량적영향。방법：선택경관맥조영증실위MVD적환자210례，완전혈운중건（CR）103례，불완전혈운중건（IR）107례。분별우술전、술후1개월급술후1 a，채용SF-36생활질량조사문권대환자진행조사。결과：량조환자적년령、성별구성、고혈압、당뇨병、고지혈증급흡연사화가족사、체중지수、좌실사혈분수급림상진단등기선정황차이균무통계학의의（P＞0．05）。 SF-36생활질량량표8개유도중，제총체건강상황외，술후1개월급술후1 a량조재구체공능、궤체동통、심리건강、생명력、사회공능、정감각색화구체각색7개유도적평분균교술전명현제고（P＜0．05），병차CR조저7개유도적평분균고우 IR조（ P＜0．05）。결론：CR대MVD 환자근기화원기생활질량적개선효과우우IR。
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>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 .