梅州市冠心病患者介入治疗前后生命质量的比较

Analysis of quality of life in patients with coronary artery disease in Meizhou before and after percutaneous coronary intervention

目的 评价梅州市不同年龄段冠心病患者介入治疗术6个月后生命质量的变化情况。方法 纳入2012年3月-2014年3月在梅州市人民医院接受冠状动脉介入治疗的187例患者,按照年龄将其分为非老年组（年龄〈60岁,89例）及老年组（年龄≥60岁,98例）,采用SF-36量表对两组患者进行问卷调查,评价两组患者术后生命质量的改善情况。结果 行冠脉介入治疗术6个月后,两组患者的躯体健康总评（PCS）、精神健康总评（MCS）分值均高于术前（均P〈0.01）;6个月后非老年组的PCS、MCS分值均高于老年组（均P〈0.05）。结论 冠脉介入治疗术后,老年患者及非老年患者生命质量均明显改善,非老年组的生命质量改善情况优于老年组。

Objective To evaluate the changes of QOL for 6 months after interventional therapy in coronary artery disease patients at different ages in Meizhou City. Methods From March 2012 to March 2014,187 patients undergone percutaneous coronary intervention in our hospital were recruited.According to age,they were divided into non-elderly group （age less than 60 years old,n=89） and older group （age no less than 60 years old,n=98）.These participants were investigated by questionnaire on QOL by SF-36 scale in order to evaluate improvement of postoperative QOL in the two groups. Results Six months after pereutaneous coronary intervention,scores of physical component summary （PCS） and mental component summary （MCS） in both groups were higher in comparison with those before surgeries （P〈0.01）.The scores of PCS and MCS in the non-elderly group for 6 months after intervention were both higher than those in the older group （P〈0.01）. Conclusion After coronary intervention,QOL in the elder and non-elderly patients is both greatly improved,and improvement in the latter is superior to that in the former.