经皮冠状动脉腔内成形术对生活质量的影响

The impact of percutaneous transluminal coronary angioplasty on quality of life

  • 摘要: 目的: 观察经皮冠状动脉成形术(PTCA)对患者生活质量的影响,以证明这一治疗方法在提高客观生理指标的同时,可以提高其生活质量,从医学和社会学两个角度来说,都是冠心病治疗的理想方法。方法: 接受经皮冠状动脉腔内成形术治疗的成功病例6 2例,采用问卷调查方式,选用国际上流行的简短表格36(SF 36)和自行设计的针对冠状动脉介入治疗术后情况的随访表。术前资料于手术前一晚采集,术后3月及6月以信访、门诊复查的方式发放问卷。同时比较了手术前后超声心动图测量的LVEF。结果: 术后发生心绞痛的病例数减少(P<0.00 1),患者左心室收缩功能较术前增加(P<0.01)。简短表格36中各项计分除总体健康感觉外,手术前后均有显著差异,术后3月及术后6月计分均较术前显著提高(P<0.00.01,精力及活力为P<0.00 5),但术后3月与术后6月之间无显著差别。心绞痛迅速而可靠地缓解是术后早期生活质量的提高的主要原因。半数以上患者术后体力恢复较慢,大部分在随访期内恢复正常工作。结论: 经皮冠状动...。

     

    Abstract: Objective: We explored the impact of percutaneous transluminal coronary angioplasty (PTCA) on quality of life (QOL) to verify this therapy could improve both physiological index and quality of life of the patients This was an ideal method for the treatment of coronary artery diseases from both medicine and sociology aspects. Methods: There were 62 patients who had undergone successful PTCA from April to November 1998 The world popular Short Form 36 (SF 36) was used to evaluate the QOL of these patients We also designed a special form to follow up angina symptoms, employment status and physical strength after PTCA The forms were filled the evening before, three months and six months after PTCA The data for the forms were collected from structured interview and mailed questionnaire LVEF before and after PTCA evaluated by echocardiography were compared. Results: The number of patients who had angina decreased significantly (P<0. 001) and the LVEF improved (P<0. 01) after PTCA There were significant improvements in the following SF 36 measures (P<0. 0001, vitality P<0. 005): physical component score, mental component score, physical functioning, role limitations due to physical health problems, bodily pain, vitality, social functioning, role limitations due to emotional health problems and mental health General health perceptions did not change significantly The main reason for the improvement of quality of life is the rapid alleviation of angina pectoris Most of the patients felt that regaining of physical strength was slow After PTCA most patients resumed their work. Conclusion: Successful percutaneous transluminal coronary angioplasty could significantly improve both objective cardiac function index and quality of life It was an ideal method for the treatment of coronary artery diseases according to the standards of social psychological biomedicine.

     

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