老年冠状动脉粥样硬化患者的应用规范化二级预防远近期治疗效果.docVIP

老年冠状动脉粥样硬化患者的应用规范化二级预防远近期治疗效果 　　DOI：10.16662/j.cnki.1674-0742.2017.11.041 　　[摘要] 目的 探讨老年冠状动脉粥样硬化患者应用规范化二级预防的远近期治疗效果。方法 随机选取该院在2015年6月―2016年9月期间收治的110例老年冠状动脉粥样硬化患者，随机分为观察组和对照组，每组55例。对照组给予常规性药物治疗，观察组在对照组的基础上给予规范性二级预防， 观察两组患者的血脂相关性指标：血清甘油三酯（TG）、血清总胆固醇（TC）、高密度脂蛋白胆固醇（HDL-C）及低密度脂蛋白胆固醇（LDL-C），观察两组患者的生存质量评分及其远期治疗效果。 结果 经过4周的治疗后，观察组患者治疗后的TG和 TC水平分别为（1.6±0.3）mmol/L和（2.9±0.6）mmol/L，明显低于对照组（2.4±0.8）mmol/L和（3.8±0.7）mmol/L， 差异有?y计学意义（P0.05）；观察组患者的远期治疗总有效率达到94.55%，明显高于对照组76.36%，差异有统计学意义（P0.05）；远期SAQ评分比较，观察组患者分值（86.7±9.1）分，明显高于对照组（71.4±8.3）分，差异有统计学意义（P0.05）。 结论 规范化二级预防对老年冠状动脉粥样硬化患者具有良好的远近期治疗效果，可有效提高患者的生活质量。 　　[关键词] 老年冠状动脉粥样硬化；应用效果；规范化二级预防；近期疗效；远期疗效 　　[中图分类号] R542 [文献标识码] A [文章编号] 1674-0742（2017）04（b）-0041-03 　　Long-term and Short-term Treatment Effect of Standardized Secondary Prevention of Senile Patients with Atherosclerosis of Coronary Artery 　　WANG Hong-xia 　　Department of Geriatrics， Linyi Traffic Hospital， Linyi， Shandong Province， 276000 China 　　[Abstract] Objective To study the long-term and short-term treatment effect of standardized secondary prevention of senile patients with atherosclerosis of coronary artery. Methods 110 cases of senile patients with atherosclerosis of coronary artery admitted and treated in our hospital from June 2015 to September 2016 were random selected and divided into two groups with 55 cases in each， the control group were given the routine drug treatment， while the observation group were given the standardized secondary prevention on the basis of the control group， and the blood fat related indexes such as TG， TC， HDL-C and LDL-C of the two groups were observed and the quality of life score and long-term treatment effect of the two groups were observed. Results After four-week treatment， the TG and TC levels in the observation group were obviously lower than those in the control group[（1.6±0.3） mmol/L， （2.9±0.6）mmol/L vs （2.4±0.8）mmol/L， （3.8±0.7）mmol/L]， and the differences were statistically significant（P 　　[Key words] Senile patien