CAJ | 학술논문

目的：探讨加强随访对冠状动脉粥样硬化性心脏病（冠心病）患者PCI术后依从性及1年预后的作用。方法选取2011年6月~2012年6月在中国人民警察部队总医院心内科诊断为冠心病并择期行PCI介入治疗的患者126例，其中男性62例，女性64例。分为常规随访组和加强随访组，每组各63例，分别进行常规随访和加强随访。随访1年，比较两组患者在随访依从性、冠脉造影复查依从性、冠心病二级预防依从性及1年预后的差异。结果与常规随访组比较，加强随访组随访依从性（年随访人次）、冠脉造影复查依从性（19%vs.61.9%）及二级预防服药依从性（68.3%vs.95.2%）增加，差异具有显著统计学意义（P均＜0.01）。加强随访组再发心绞痛比例明显低于常规随访组（9.5%vs.26.9%，P＜0.05）。常规随访组再次血运重建3例，心肌梗死2例；加强随访组再次血运重建1例，心肌梗死1例，两组MACE发生率差异无统计学意义（P＞0.05）结论加强随访制度提高了冠心病患者PCI术后依从性，改善1年预后。
목적：탐토가강수방대관상동맥죽양경화성심장병（관심병）환자PCI술후의종성급1년예후적작용。방법선취2011년6월~2012년6월재중국인민경찰부대총의원심내과진단위관심병병택기행PCI개입치료적환자126례，기중남성62례，녀성64례。분위상규수방조화가강수방조，매조각63례，분별진행상규수방화가강수방。수방1년，비교량조환자재수방의종성、관맥조영복사의종성、관심병이급예방의종성급1년예후적차이。결과여상규수방조비교，가강수방조수방의종성（년수방인차）、관맥조영복사의종성（19%vs.61.9%）급이급예방복약의종성（68.3%vs.95.2%）증가，차이구유현저통계학의의（P균＜0.01）。가강수방조재발심교통비례명현저우상규수방조（9.5%vs.26.9%，P＜0.05）。상규수방조재차혈운중건3례，심기경사2례；가강수방조재차혈운중건1례，심기경사1례，량조MACE발생솔차이무통계학의의（P＞0.05）결론가강수방제도제고료관심병환자PCI술후의종성，개선1년예후。
Objective To investigate the effect of intensive follow-up on compliance after percutaneous coronary intervention (PCI) and 1-year prognosis in patients with coronary heart disease (CHD).Methods CHD patients with selected PCI (n=126, male 62, female 64) were chosen from June 2011 to June 2012, divided into routine group and intensive group (eachn=63), and given routine follow-up and intensive follow-up. After 1-year, the compliance to follow-up, coronary angiography (CAG) reexamination and CHD secondary prevention, and 1-year prognosis were compared between 2 groups.Results Compared with routine group, follow-up compliance (person-time/year), compliance to CAG reexamination (19%vs. 61.9%) and compliance to CHD secondary prevention (68.3%vs. 95.2%) increased in intensive group (allP<0.01). The percentage of cases with reoccurred angina pectoris was significantly lower in intensive group than that in routine group (9.5%vs. 26.9%,P<0.05). There were 3 cases with revascularization and 2 with myocardial infarction in routine group, and 1 with revascularization and 1 with myocardial infarction in intensive group. The difference in incidence of major adverse cardiovascular events (MACE) had no statistical significance between 2 groups (P>0.05).Conclusion Intensive follow-up system can improve compliance and 1-year prognosis in CHD patients after PCI.