经皮冠状动脉介入治疗前后冠心病患者生活质量的影响因素

The influencing factors of quality of life for influencing factors for patients of coronary disease before and after percutaneous coronary intervention

目的探讨经皮冠状动脉介入治疗（PCI）冠心病患者手术前后生活质量的影响因素。方法回顾性调查PCI手术患者住院前、出院时和出院后6个月的生活质量及相关因素,探讨对生活质量的影响因素。结果多因素回归分析显示,影响PCI治疗患者生活质量的因素较多：手术前影响生活质量的因素包括是否伴随高血压病、患冠心病的时间以及受教育的程度（F=5.187,P〈0.01,F=8.821,P〈0.01）;影响手术后出院时生活质量的因素有手术后是否服用镇静药物、患者的年龄以及受教育程度（F=5.874,P〈0.01,F=5.576,P〈0.01）;影响出院后近期（6个月）生活质量的因素包括受教育程度、手术后是否服用镇静药物、冠心病类型、是否高脂血症以及性别（F=6.771,P〈0.01,F=6.557,P〈0.01）。结论影响PCI手术效果的因素在手术的不同阶段是不同的。

Objective To analyse the influencing factors of quality of life for patients of coronary disease before and after percutaneous coronary intervention, Methods The research employed the general-purpose Medical Outcome Study Short Form-8 （SF-8） and the special-purpose Seattle Angina Survey Form to made preliminary analysis of the factors influencing quality of life of the patients of coronary disease, Results The respective quality of life influencing factors for PCI group were, before operation, hypertension concurrence, the duration of coronary disease, as well as educational background, meanwhile, after operation, age, sedative administration, as well as educational background, The factors influencing the extended effect of the operation on quality of life included sex, hyperlipidemia concurrence, sedative administration,educational background, as well as types of coronary disease, Conclusion The factors influencing the effect of PCI operation are different at different stages of operation, which include chiefly age,educational background,sedative administration,and the types of coronary disease.