心电图为主导综合干预手段对急性冠脉综合征介入术后患者生存质量影响.docVIP

心电图为主导综合干预手段对急性冠脉综合征介入术后患者生存质量影响 　　[摘要] 目的 探讨以心电图为主导的综合干预手段对急性冠脉综合征（ACS）介入术后患者生存质量的影响。 方法 选取2011年3月～2013年6月于我院诊治的ACS患者192例，将其随机分为对照组和观察组，各96例。对照组患者术后进行常规治疗和复查随访，给予常规出院指导，观察组在对照组基础上给予个体化康复训练、心理辅导，并于术后3个月、6个月、12个月复查心电图、动态心电图、运动平板心电图，根据检查结果进行术后用药、心态、运动、工作、生活等方案调整。比较两组患者术后 3个月、6个月、12个月的生存质量。 结果 PCI术后3个月，两组患者的SAQ评分和SF-36评分比较，差异无统计学意义（P0.05）；PCI术后6个月和12个月后结果显示，观察组SF-36评分及SAQ 评分各项指标评分均高于对照组，差异有统计学意义（P0.01）。 结论 ACS患者介入术后复查结合心电图检查调整个性化治疗、心理辅导和康复运动方案，能够明显改善患者术后的生活质量及机体功能状态。 　　[关键词] 急性冠脉综合征；心电图变化；经皮冠状动脉介入治疗；生存质量 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0194-04 　　[Abstract] Objective To explore the impact of dominated by electrocardiogram comprehensive interventions on postoperative life quality of acute coronary syndrome （ACS）. Methods 192 patients with ACS from March 2011 to July 2013 diagnosed and treated by our hospital were selected and were randomly divided into control group and observation group，each group was 96 cases.Patients in control group were accepted routine treatment，followed upand routine dischargeguidance.Patients in observation group were given individualized rehabilitation training and psychological guidance on the basis of control group，electrocardiography，dynamicelectrocardiogram and theplaty movement electrocardiogram were rechecked after 3，6 and 12 months.Postoperative drug use，psychology，exercise，work and life were adjusted according to test results.The life quality of 3，6 and 12 months after operation in two groups were compared. Results 3 months after PCI，the SAQ score and SF-36 score in two group had no statistical significance （P0.05）；the results of 6 and 12 months after operation showed that the SAQ score and SF-36 score in observation group were higher than control group，and the difference was statistical significance （P0.01）. Conclusion For ACS patients，postoperative recheck combined with electrocardiography examination to adjust individualized treatment，psychological guidance and rehabilitation exercise plan，which can improve