PCI术后二级预防现状及其影响因素调查

On the current status of secondary prevention and its impact factors on patients after PCI treatment

目的调查冠心病患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后正规药物二级预防的现状,并探讨影响正规治疗的因素。方法选取在某院首次行PCI治疗的冠心病患者112例,调查其二级预防用药正规服用情况及停药的原因,采用Logistic回归分析影响患者规范化治疗的因素。结果 112例PCI术后的冠心病患者中,规范治疗62例,不规范治疗50例,总体不规范治疗率为44.6%。停药原因显示患者随意停药现象较普遍,占70%左右。Logistic回归分析显示女性、受教育程度较高以及随访间隔时间长的患者更易出现不规范治疗,OR值分别为3.063、2.214、2.014。结论 PCI术后冠心病患者四类药物不规范治疗率均较高,随意停药现象普遍。女性、术后随访间隔时间长以及受教育程度较高者应作为今后提高规范化治疗率的重点人群。

Objective To investigate the current status of secondary prevention therapies in patients with coronary artery disease after PCI treatment, and explore the influencing factors. Methods 112 patients with coronary artery disease who initially accepted PCI therapy in the hospital were chosen as subjects. The compliances of drug uses as well as the causes of treatment discontinuation were investigated. Logistic regression was used to analyze the influ- encing factors for regular treatment. Results Among all the patients, 62 cases maintained regular treatment, while 50 cases were treated irregularly. The rate of irregular treatment was 44.6%. The study on the reasons for drug withdrawal showed that optional withdrawal was prominent, about 70%. Logistic regression revealed those who were female, higher education, non-followed after PCI were more prone to treating irregularly, OR values 3. 063,2. 214, 2. 014, respectively. Conclusion The irregular therapy rates are relatively high for all kinds of medicines among patients after PCI, and optional withdrawal is very common. Cardiologists should keep more focus on the female, the irregular follow-up, and higher educated patients in the future study,