中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
29期
51-54,58
,共5页
急性冠脉综合征%PCI术%心电图%生活质量%心功能
急性冠脈綜閤徵%PCI術%心電圖%生活質量%心功能
급성관맥종합정%PCI술%심전도%생활질량%심공능
Acute coronary syndrome%PCI operation%Electrocardiogram%Quality of life%Heart function
目的:探讨急性冠脉综合征(ACS)经皮冠状动脉介入术(PCI)后心电图的变化情况与患者生活质量的关系。方法选择2011年11月~2014年11月于杭州市中医院行PCI术的ACS患者124例为研究对象,根据术后1 h ST段是否回落超过50%以及24h T波是否倒置将其分为两组。其中术后1 h ST段回落≥50%的患者(1 h ST段回落≥50%组)80例,1 h ST段回落<50%患者(1 h ST段回落<50%组)44例;24h T波倒置患者(T波倒置组)85例,未倒置患者(T波未倒置组)39例。采用健康状况调查问卷(SF-36量表)对四组患者术后3个月生活质量进行评价,以探讨ACS患者PCI术后心电图的变化情况与其生活质量的关系;检测四组患者术后3个月的心功能。结果①1 h ST段回落≥50%组SF-36量表各维度(生理功能、心理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康、躯体相关生活质量、心理相关生活质量及总得分)评分均显著高于1 h ST段回落<50%组(P<0.05),T波倒置组上述维度评分均显著高于T波未倒置组(P<0.05);②术后3个月,1 h ST段回落≥50%组左心室射血分数(LVEF)、Em/Am、左室舒张末内径(LVED)均显著高于1 h ST段回落<50%组(P<0.05),T波倒置组上述指标水平均显著高于T波未倒置组(P<0.05);1 h ST段回落≥50%组左心室舒张末期内径(LVDD)显著高于1 h ST段回落<50%组(P<0.05),T波倒置组上述指标均显著高于T波未倒置组(P<0.05)。结论ACS患者PCI术后心电图1 h ST段回落≥50%及24h T波倒置是反映患者生活质量及心功能的重要指标,从而为ACS患者临床治疗效果的评价提供一定的参考依据。
目的:探討急性冠脈綜閤徵(ACS)經皮冠狀動脈介入術(PCI)後心電圖的變化情況與患者生活質量的關繫。方法選擇2011年11月~2014年11月于杭州市中醫院行PCI術的ACS患者124例為研究對象,根據術後1 h ST段是否迴落超過50%以及24h T波是否倒置將其分為兩組。其中術後1 h ST段迴落≥50%的患者(1 h ST段迴落≥50%組)80例,1 h ST段迴落<50%患者(1 h ST段迴落<50%組)44例;24h T波倒置患者(T波倒置組)85例,未倒置患者(T波未倒置組)39例。採用健康狀況調查問捲(SF-36量錶)對四組患者術後3箇月生活質量進行評價,以探討ACS患者PCI術後心電圖的變化情況與其生活質量的關繫;檢測四組患者術後3箇月的心功能。結果①1 h ST段迴落≥50%組SF-36量錶各維度(生理功能、心理職能、軀體疼痛、總體健康、活力、社會功能、情感職能、精神健康、軀體相關生活質量、心理相關生活質量及總得分)評分均顯著高于1 h ST段迴落<50%組(P<0.05),T波倒置組上述維度評分均顯著高于T波未倒置組(P<0.05);②術後3箇月,1 h ST段迴落≥50%組左心室射血分數(LVEF)、Em/Am、左室舒張末內徑(LVED)均顯著高于1 h ST段迴落<50%組(P<0.05),T波倒置組上述指標水平均顯著高于T波未倒置組(P<0.05);1 h ST段迴落≥50%組左心室舒張末期內徑(LVDD)顯著高于1 h ST段迴落<50%組(P<0.05),T波倒置組上述指標均顯著高于T波未倒置組(P<0.05)。結論ACS患者PCI術後心電圖1 h ST段迴落≥50%及24h T波倒置是反映患者生活質量及心功能的重要指標,從而為ACS患者臨床治療效果的評價提供一定的參攷依據。
목적:탐토급성관맥종합정(ACS)경피관상동맥개입술(PCI)후심전도적변화정황여환자생활질량적관계。방법선택2011년11월~2014년11월우항주시중의원행PCI술적ACS환자124례위연구대상,근거술후1 h ST단시부회락초과50%이급24h T파시부도치장기분위량조。기중술후1 h ST단회락≥50%적환자(1 h ST단회락≥50%조)80례,1 h ST단회락<50%환자(1 h ST단회락<50%조)44례;24h T파도치환자(T파도치조)85례,미도치환자(T파미도치조)39례。채용건강상황조사문권(SF-36량표)대사조환자술후3개월생활질량진행평개,이탐토ACS환자PCI술후심전도적변화정황여기생활질량적관계;검측사조환자술후3개월적심공능。결과①1 h ST단회락≥50%조SF-36량표각유도(생리공능、심리직능、구체동통、총체건강、활력、사회공능、정감직능、정신건강、구체상관생활질량、심리상관생활질량급총득분)평분균현저고우1 h ST단회락<50%조(P<0.05),T파도치조상술유도평분균현저고우T파미도치조(P<0.05);②술후3개월,1 h ST단회락≥50%조좌심실사혈분수(LVEF)、Em/Am、좌실서장말내경(LVED)균현저고우1 h ST단회락<50%조(P<0.05),T파도치조상술지표수평균현저고우T파미도치조(P<0.05);1 h ST단회락≥50%조좌심실서장말기내경(LVDD)현저고우1 h ST단회락<50%조(P<0.05),T파도치조상술지표균현저고우T파미도치조(P<0.05)。결론ACS환자PCI술후심전도1 h ST단회락≥50%급24h T파도치시반영환자생활질량급심공능적중요지표,종이위ACS환자림상치료효과적평개제공일정적삼고의거。
Objective To investigate the acute coronary syndrome (ACS) and the relationship between changes of quali-ty of life in patients with ECG after PCI. Methods 124 cases of PCI intervention in ACS patients in Traditional Chi-nese Medical Hospital of Hangzhou City from November 2011 to November 2014 were selected as the research objects, and they were divided into two groups according to the postoperative 1 h ST down more than 50% and the 24 h T wave inversion respectively. 80 patients of postoperative 1 h ST segment elevation ≥ 50% was 1 h ST segment elevation ≥50% group, and 44 cases patients of postoperative 1 h ST segment elevation < 50% was 1 h ST segment elevation <50% group; 85 patients of 24 h inverted T wave was T wave inversion group, and 39 patients with T wave non-inver-sion was T wave non-inversion group. The quality of life postoperative 3 months of patients in the four groups was e-valuated by the SF-36 scale, the relation between the changes of the electrocardiogram and life quality of patients with ACS after PCI was discussed;and the cardiac function of 3 months with postoperative of patients in the four groups was determined. Results According to the SF-36 scale, each dimension (physiological function, psychological function, body pain, general health, vitality, social function, emotional function, mental health, physical health-related quality of life, psychological quality of life score and total score) of 1 h ST segment elevation ≥ 50% group were significantly higher than that of 1 h ST segment < 50% group (P< 0.05), the scores of T wave inversion group were significantly higher than that of T wave non-inversion group (P < 0.05);LVEF, Em/Am, LVED of the 1 h ST segment elevation ≥50%group after 3 months were significantly higher than that of the 1 h ST segment<50% group (P<0.05), above indexes of T wave inversion group were significantly higher than T wave non-inversion group (P<0.05); LVDD of the 1 h ST segment elevation ≥ 50% group was significantly higher than that in the 1 h ST segment < 50% group (P<0.05), Above indexes of T wave inversion group were significantly higher than T wave non-inversion group (P< 0.05). Conclusion The ACS after PCI in patients with ST segment ECG 1 h≥ 50%and 24 h T wave inversion are important indexs to reflect the quality of life and heart function, so as to provide some reference for the evaluation of the clinical curative effect of the patients with ACS.