NSTEACS患者PCI术后专人定期随诊1年的疗效观察
NSTEACS환자PCI술후전인정기수진1년적료효관찰
Effcacy of specialized follow-up for 1 year on the NSTEACS patients after PCI
  • 万方数据
    中国医学前沿杂志(电子版) 중국의학전연잡지(전자판)
    CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
    2013年 4期 55-57 ,共3页

    杜来景%董平栓%来利红%杨旭明%王绍欣%李志娟%李转珍%范喜梅%段洪强%赵玉伟%陈润%杨淑娥

    두래경%동평전%래리홍%양욱명%왕소흔%리지연%리전진%범희매%단홍강%조옥위%진윤%양숙아

    冠心病%血管成形术%经皮冠状动脉%随访研究%经皮穿刺 冠心病%血管成形術%經皮冠狀動脈%隨訪研究%經皮穿刺
    관심병%혈관성형술%경피관상동맥%수방연구%경피천자
    Coronary heart disease%PCI, Mortality%Re-hospitalization%Expenditure on medical care
    目的评价对已经行直接经皮冠状动脉介入治疗(PCI)的非ST段抬高型急性冠脉综合征(NSTEACS)患者专人定期随诊的远期疗效,探讨NSTEACS患者就医行为和临床预后的相关性.方法2010年10月1日至2011年9月30日临床确诊为NSTEACS,并成功接受直接PCI术的患者463例,其中男364例,女99例.接受定期专人随诊的患者归入规范组(n=255),未定期非专人随诊患者非规范组(n=208).分别比较两组1年死亡率、再住院率.结果规范组患者的1年累计主要心血管事件(MACE)发生率、靶血管重建率、再住院率分别为2.75%、1.57%、3.53%,明显低于非规范组的3.85%、2.40%、5.77%.结论接受了直接PCI术的急性冠脉综合征(ACS)患者,在经过专人定期随诊后,其1年内MACE发生率、靶血管重建率、再住院率可得到明显降低.加强定期专人NATEACS患者的随诊是改善ACS患者预后的重要措施.
    목적평개대이경행직접경피관상동맥개입치료(PCI)적비ST단태고형급성관맥종합정(NSTEACS)환자전인정기수진적원기료효,탐토NSTEACS환자취의행위화림상예후적상관성.방법2010년10월1일지2011년9월30일림상학진위NSTEACS,병성공접수직접PCI술적환자463례,기중남364례,녀99례.접수정기전인수진적환자귀입규범조(n=255),미정기비전인수진환자비규범조(n=208).분별비교량조1년사망솔、재주원솔.결과규범조환자적1년루계주요심혈관사건(MACE)발생솔、파혈관중건솔、재주원솔분별위2.75%、1.57%、3.53%,명현저우비규범조적3.85%、2.40%、5.77%.결론접수료직접PCI술적급성관맥종합정(ACS)환자,재경과전인정기수진후,기1년내MACE발생솔、파혈관중건솔、재주원솔가득도명현강저.가강정기전인NATEACS환자적수진시개선ACS환자예후적중요조시.
    @@@@Objective To understand and compare the clinical effect and cost-effective ratio in patients with Non-ST-segment elevation acute coronary syndrome (NSTEACS) who accepted primary PCI. Methods There were 463 patients with NSTEACS patients accepted primary PCI in the study, including 364 males and 99 females. All patients were told that they should accept specialized follow-up among one year. They were divided into the standardized group (n = 255) and the non-standardized group (n = 208) by patients whether or not accepting specialized treat and follow-up. Results The rate of major adverse cardiovascular events (MACE), target vessel revascularization and re-hospitalization in standardization group were better than that in non-standardization group (2.75%, 1.57%, 3.53% VS 3.85%, 2.40%, 5.77%). Conclusion The rate of MACE, target vessel revascularization and re-hospitalization were decreased signifcantly in the standardized group than that in non-standardized group. The prognoses of patients with NSTEACS accepted primary PCI were greatly improved by supervising medical behavior and intensifying the specialized treatment and follow-up by schedule.
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