摘要
目的:比较心脏介入术后病人社区卫生服务中心干预在临床心功能中的意义。方法:收集原在Ⅱ、Ⅲ级医院心脏介入术后定期随访,现纳入社区卫生服务中心专病随访干预的53例病人,进行前瞻性、开放性、自我对照的临床心功能统计评价。结果:显示在标准规范治疗下,临床心功能、降压和调脂方面具有良好优越性及显著临床意义(P<0.05)。而心脏超声、心绞痛发作均无变化意义和随访差别(P>0.05),但在心房颤动和再住院则有增加现象。结论:在规范随访和治疗下,心脏介入术后病人可长期在社区卫生服务中心定期随访管理,可缓解病情的进展、改善心功能。
Objective： to compare The value of following up the therapeutic effect and management in community concerto of the patients with cardio intervention in the field clinical cardiol function. Methods：We have studied 53 patients from May 2006 to Oct 2009 by means of open prospective contrastire methods, aiming to analyze the patients with past of eardio intervention the clinical cardiol function. Result：we have found that significantly the standard therapeutic on clinical cardiol function such as blood pre sure controling and lipid controling, has a good effect （ P 〈 0. 05 ） , however, no significant effect of eehocardiography angina pectoris（P〉0.05） can be found. The rate of the patients who have atrial fibrillation and rehospitallization has a slight increase. Conclusion：Our findings confirm that under standardized thoracic and management the following up of the patients with eardio intervention can be conducted in the community with satisfactory result. Further observation will be needed for evaluation of longterm result required.
