中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
25期
20-23
,共4页
郑仕杰%周敬群%向常清%杨维华%张波
鄭仕傑%週敬群%嚮常清%楊維華%張波
정사걸%주경군%향상청%양유화%장파
心肌梗死%生活质量%缺血后处理
心肌梗死%生活質量%缺血後處理
심기경사%생활질량%결혈후처리
Myocardial infarction%Quality of life%Ischemia postcounditioning
目的 探讨缺血后处理对急性ST段抬高型心肌梗死患者术后6个月生存质量的变化及影响.方法 选择接受缺血后处理的急性ST段抬高型心肌梗死患者129例,分别于术前、术后6个月采用健康调查简表(SF-36)和特异性西雅图心绞痛量表(SAQ),对患者生存质量予以评价,分析患者术后生存质量的变化及影响因素.结果 经缺血后处理的急性ST段抬高型心肌梗死患者,术后6个月SF-36和SAQ各项评分较术前均有不同程度升高[SF-36:躯体健康总评分(76.4±17.3)分比(56.3±16.8)分、生理功能(75.3±18.1)分比(52.4±19.2)分、生理职能(75.6±16.5)分比(48.5±20.3)分、躯体疼痛(77.2±15.4)分比(58.7±16.6)分、总体健康状态(73.6±17.8)分比(50.6±14.7)分、精神健康总评分(77.5±15.3)分比(55.3±17.3)分、生命力(69.3±18.1)分比(43.2±17.4)分、社会功能(70.3±17.5)分比(41.3±14.2)分、情感职能(80.2±17.4)分比(63.5±14.3)分、精神健康(77.6±18.4)分比(55.6±20.1)分、健康变化(76.3±17.4)分比(53.4±16.6)分；SAQ:躯体活动受限(78.46±12.21)分比(35.34±15.33)分、心绞痛稳定状态(74.23±8.53)分比(30.12±5.38)分、心绞痛发作情况(72.34±10.33)分比(27.33±9.12)分、治疗满意度(76.42±12.13)分比(30.56±15.57)分、疾病认知程度(74.22±9.35)分比(37.25±20.32)分],差异有统计学意义(P＜0.05).采用多元线性回归方程进行评价,结果表明患者年龄越大、血管病变越重、术前躯体健康总评分越低,则术后躯体健康总评分越低,其生存质量越差.结论 缺血后处理的急性ST段抬高型心肌梗死患者术后6个月生存质量较术前明显改善；高龄、血管病变严重及术前低躯体健康总评分是影响患者术后躯体生存质量的危险因素.
目的 探討缺血後處理對急性ST段抬高型心肌梗死患者術後6箇月生存質量的變化及影響.方法 選擇接受缺血後處理的急性ST段抬高型心肌梗死患者129例,分彆于術前、術後6箇月採用健康調查簡錶(SF-36)和特異性西雅圖心絞痛量錶(SAQ),對患者生存質量予以評價,分析患者術後生存質量的變化及影響因素.結果 經缺血後處理的急性ST段抬高型心肌梗死患者,術後6箇月SF-36和SAQ各項評分較術前均有不同程度升高[SF-36:軀體健康總評分(76.4±17.3)分比(56.3±16.8)分、生理功能(75.3±18.1)分比(52.4±19.2)分、生理職能(75.6±16.5)分比(48.5±20.3)分、軀體疼痛(77.2±15.4)分比(58.7±16.6)分、總體健康狀態(73.6±17.8)分比(50.6±14.7)分、精神健康總評分(77.5±15.3)分比(55.3±17.3)分、生命力(69.3±18.1)分比(43.2±17.4)分、社會功能(70.3±17.5)分比(41.3±14.2)分、情感職能(80.2±17.4)分比(63.5±14.3)分、精神健康(77.6±18.4)分比(55.6±20.1)分、健康變化(76.3±17.4)分比(53.4±16.6)分；SAQ:軀體活動受限(78.46±12.21)分比(35.34±15.33)分、心絞痛穩定狀態(74.23±8.53)分比(30.12±5.38)分、心絞痛髮作情況(72.34±10.33)分比(27.33±9.12)分、治療滿意度(76.42±12.13)分比(30.56±15.57)分、疾病認知程度(74.22±9.35)分比(37.25±20.32)分],差異有統計學意義(P＜0.05).採用多元線性迴歸方程進行評價,結果錶明患者年齡越大、血管病變越重、術前軀體健康總評分越低,則術後軀體健康總評分越低,其生存質量越差.結論 缺血後處理的急性ST段抬高型心肌梗死患者術後6箇月生存質量較術前明顯改善；高齡、血管病變嚴重及術前低軀體健康總評分是影響患者術後軀體生存質量的危險因素.
목적 탐토결혈후처리대급성ST단태고형심기경사환자술후6개월생존질량적변화급영향.방법 선택접수결혈후처리적급성ST단태고형심기경사환자129례,분별우술전、술후6개월채용건강조사간표(SF-36)화특이성서아도심교통량표(SAQ),대환자생존질량여이평개,분석환자술후생존질량적변화급영향인소.결과 경결혈후처리적급성ST단태고형심기경사환자,술후6개월SF-36화SAQ각항평분교술전균유불동정도승고[SF-36:구체건강총평분(76.4±17.3)분비(56.3±16.8)분、생리공능(75.3±18.1)분비(52.4±19.2)분、생리직능(75.6±16.5)분비(48.5±20.3)분、구체동통(77.2±15.4)분비(58.7±16.6)분、총체건강상태(73.6±17.8)분비(50.6±14.7)분、정신건강총평분(77.5±15.3)분비(55.3±17.3)분、생명력(69.3±18.1)분비(43.2±17.4)분、사회공능(70.3±17.5)분비(41.3±14.2)분、정감직능(80.2±17.4)분비(63.5±14.3)분、정신건강(77.6±18.4)분비(55.6±20.1)분、건강변화(76.3±17.4)분비(53.4±16.6)분；SAQ:구체활동수한(78.46±12.21)분비(35.34±15.33)분、심교통은정상태(74.23±8.53)분비(30.12±5.38)분、심교통발작정황(72.34±10.33)분비(27.33±9.12)분、치료만의도(76.42±12.13)분비(30.56±15.57)분、질병인지정도(74.22±9.35)분비(37.25±20.32)분],차이유통계학의의(P＜0.05).채용다원선성회귀방정진행평개,결과표명환자년령월대、혈관병변월중、술전구체건강총평분월저,칙술후구체건강총평분월저,기생존질량월차.결론 결혈후처리적급성ST단태고형심기경사환자술후6개월생존질량교술전명현개선；고령、혈관병변엄중급술전저구체건강총평분시영향환자술후구체생존질량적위험인소.
Objective To compare the quality of life before ischemia postconditioning and 6 months after ischemia postconditioning in patients with acute ST segment elevation myocardial infarction,and investigate the related risk factors.Methods One hundred and twenty-nine patients with acute ST segment elevation myocardial infarction were given the ischemie postconditioning.The quality of life was evaluated before ischemia postconditioning and 6 months after ischemia postconditioning by 36-item short-form health survey (SF-36) and seattle angina questionnaire (SAQ).Results In acute ST segment elevation myocardial infarction patients treated with ischemia postconditioning,the scores of SF-36 and SAQ were significantly lower at 6 months after ischemia postconditioning than those before ischemia postconditioning [SF-36:total score of body health (76.4 ± 17.3) scores vs.(56.3 ± 16.8) scores,physiologic function (75.3 ± 18.1) scores vs.(52.4 ± 19.2) scores,physiologic functional authority (75.6 ± 16.5) scores vs.(48.5 ± 20.3) scores,body pain (77.2 ± 15.4) scores vs.(58.7 ± 16.6) scores,total health state (73.6 ± 17.8) scores vs.(50.6 ± 14.7)scores,total score of mental status (77.5 ± 15.3) scores vs.(55.3 ± 17.3) scores,vitality (69.3 ± 18.1)scores vs.(43.2 ± 17.4) scores,society function (70.3 ± 17.5) scores vs.(41.3 ± 14.2)scores,affection functional authority (80.2 ± 17.4)scores vs.(63.5 ± 14.3)scores,mental health (77.6 ± 18.4) scores vs.(55.6 ± 20.1) scores,health change (76.3 ± 17.4) scores vs.(53.4 ± 16.6) scores;SAQ:body limitation of activity (78.46 ± 12.21) scores vs.(35.34 ± 15.33)scores,angina stable state (74.23 ± 8.53) scores vs.(30.12 ± 5.38) scores,angina episode state (72.34 ± 10.33) scores vs.(27.33 ± 9.12) scores,satisfaction degree of treatment (76.42 ± 12.13)scores vs.(30.56 ± 15.57) scores,knowledge of diseases (74.22 ± 9.35)scores vs.(37.25 ± 20.32) scores] (P ＜ 0.05).The results of multiple linear regression equation showed that the older,more severe vascular lesions,and lower total score of body health score before ischemia postconditioning indicated lower total score of body health,and worse quality of life after ischemia postconditioning.Conclusions The quality of life of patients with acute ST segment elevation myocardial infarction after ischemia postconditioning is significantly improved,compared with that before ischemia postconditioning.Advanced age,vascular disease and lower total scores of body health before ischemia postconditioning are independent risk factors of total scores of body health after ischemia postconditioning.
