经皮冠状动脉介入治疗对急性心肌梗死患者近期生活质量的影响

摘要

目的 探讨经皮冠状动脉介入治疗(PCI)对急性心肌梗死患者近期生活质量的影响.方法 随机方法选取我院2011年3月至2013年9月行PCI治疗的急性心肌梗死患者82例(PCI组)和非PCI治疗患者69例(对照组)作为研究对象,使用心肌梗死多维度量表(MIDAS)分别在入院时、出院时、出院6个月后对两组患者生活质量及进行综合评定.结果 (1) PCI组在出院时及出院6个月后的MIDAS评分均明显低于对照组(P＜0.05);(2)两组1年生存率及心血管事件发生率比较差异无统计学意义(PCI组:2.44％;对照组:5.80％)(P＞0.05).结论 PCI术与非PCI治疗均可明显提高急性心肌梗死患者生活质量,但PCI术提高生活质量的幅度较非PCI治疗更为显著.%Objective To investigate the effect of percutaneous coronary intervention (PCI) on recent life quality of patients with acute myocardial infartionc (AMI).Methods 82 cases patients with AMI who had undergone PCI therapy in our hospital from March 2011 to September 2013 were randomly selected as PCI group,and 69 cases with AMI who had undergone non-PCI therapy were selected as control group,MIDAS was used to evaluate two groups' recent quality of life at admission,at discharge and 6 months post discharge.Results ① The MIDAS scores of PCI group at discharge and 6 months post discharge were less than those of control group (P ＜ 0.05); ② There was no significant difference in the 1-year survival rate,incidence of vascular events between two groups (PCI group:2.44％; control group:5.80％) (P ＞ 0.05).Conclusion Both PCI and non-PCI therapy can improve the recent life quality of patients with AMI after discharge,while PCI has more significant effect than non-PCI therapy.