摘要
Abstract
Objective To investigate the feasible management mode and effect of patients with coronary heart disease after percutaneous coronary intervention(PCI)and enhance the community physicans′ability for preventing the adverse events, and reduce the risk factors. Methods In 2014,87 patients who were accepted PCI at Department of Cardiology,the Second Affiliated Hospital of Baotou Medical College and met the inclusion criteria were enrolled. These patients were divided into two groups:the intervention group(47)could return to community and accept the management of community doctors,and the control group(40)could not return to community and accept the management. After accepting training from the Cardiovascular Disease Prevention and Treatment Research Center of the former Ministry of Health,the experts of the study trained the community physicians to manage the intervention group. The intervention group accepted the management of community doctors, and the control group did not accet any intervention. All patients accepted phone - call follow up at 6 months and 12 months after PCI. The cardiovascular disease risk factors,drug use,lifestyle,and the major adverse cardiovascular events of the two groups were recorded. Results The body mass index(BMI),systolic blood pressure(SBP)and triglyceride(TG)in the intervention group were significantly lower than those in the control group at 6 months and 12 months after PCI( P < 0. 05). There were statistically significant differences in the usage of calcium ion antagonist(CCB)and nitrate between the two groups at 6 months after PCI(P < 0. 05). There were statistically significant differences in the usage of CCB,β - blockers and statins between the two groups at 12 months after PCI(P < 0. 05). Logistic regression analysis showed that the group was the influencing factor for sleep qulity,irritability and depression at 6 months after PCI( P < 0. 05);and group was the influencing factor for regular exercise > 2 times/ week and > 30 min/ time,fasting food > 3 times/ week,drinking < 22 g/ time,and sleep qulity at 12 months after PCI(P < 0. 05). There was statistically significant difference in the incidences in myocardial infarction between the two groups at 6 months after PCI( P < 0. 05). There were statistically significant differences in the incidence of myocardial infarction and TLR between the two groups at 12 months after PCI(P < 0. 05). Conclusion The community as a unit to file management is beneficial to the secondary prevention of coronary heart disease after PCI. Effective management of patients after PCI by community doctors can reduce adverse cardiovascular events and risk factors.关键词
血管成形术,气囊,冠状动脉/社区健康教育/主要不良心血管事件/心血管疾病/危险因素Key words
Angioplasty,balloon,coronary/Community health education/Major adverse cardiovascular events/Cardiovascular diseases/Risk factors分类
医药卫生
