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

心电图为主导的综合干预手段对急性冠脉综合征介入术后患者生存质量的影响 ［ ］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（P ［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 ［ ］R541.4 ［ ］A ［ ］ 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 (P 1 资 料与方法 1.1 一般资料 选取2011年3月?2013年6月于我院诊治的ACS 患者为研究对象，纳入标准①ACS患者诊断符合中 华心血管病杂志编辑委员会的诊断标准［5］；②PCI术; ③患者意识清醒，听力基本正常，月收入达 ③患者意识清醒， 听力基本正常，月收入达2000元, 小学以上文化程度；④患者精神状态良好，无精神类 相关病史。 共纳入符合要求的患者192例，将患者随机分为 对照组和观察组。观察组96例，其中男性72例，女 性24例；平均年龄(64.38±10.23)岁；支架数(2.09 ±1.04)个；冠脉狭窄情况单枚28例，双枚29例,