“生命网”在冠心病患者二级预防中的有益作用

The benefic effect of "Heart care network" on the secondary prevention of coronary heart diseases

目的通过"生命网"(HCN)系统对冠心病(CHD)患者的积极干预,探讨HCN在CHD二级预防中的有益作用。方法将546例CHD患者分为HCN系统随访组及对照组,观察HCN随访组血脂、血糖指标的变化及两组出院后半年的临床事件。结果随访6个月后,随访组血清总胆固醇、低密度脂蛋白胆固醇、甘油三酯和血糖水平均显著下降;血清高密度脂蛋白胆固醇较基线水平增高。随访组再发冠脉事件、再入院及死亡较对照组明显减少。结论HCN管理系统可以一定程度地提高CHD患者的生活质量,减少不良心血管事件的发生,从而在CHD二级预防中发挥有益作用。

Objective To study the effect of ＂Heart care network＂ （HCN） for the secondary prevention of coronary heart diseases （CHD） in patients with CHD. Method Plasma levels of lipoprotein, glucose, the blood pressure, body mass index and smoking history had been monitored in the CHD patients who had been recruited in HCN study. Result After 6 months follow-up, plasma levels of total cholesterol, low-density lipoprotein cholesterol, triglyceride, glucose were reduced significantly when compared with the baseline level. High density lipoprotein cholesterol was increased after six months follow up. The ratio of re-coronary event, re-hospitalization and death had been significantly decreased when compared with the control group during 6 months follow-up. Conclusion ＂HCN＂ can enhance the living qualities and exert the benefic effect in the patients with CHD.