术后定期心电图复查对ACS康复方案的指导意义及预后影响

Guiding significance and prognostic impacts of regular postoperative ECG reexamination on ACS rehabilitation scheme

目的探讨急性冠状动脉综合征(ACS)介入治疗后定期行心电图复查对康复护理方案的指导意义及对患者预后的影响。方法选取行经皮冠状动脉介入治疗(PCI)的130例ACS患者为受试对象,根据出院后自觉定期(术后3、6、12个月)入院行心电图检查的复诊情况,将患者分为定期组(n=56)和非定期组(n=74)。对定期组以心电图检查结果为依据予以针对性康复护理指导,通过书信、邮件、家庭访问等随访形式了解两组患者出院后的生活质量、症状改善情况及不良情绪改善情况。结果术后12个月内,两组SAQ评分、WHOQOL-BREF评分均较术前时显著提高,且定期组增幅大于非定期组(P<0.05);两组HAMD、STAI等不良情绪评分均较术前显著降低,且定期组降幅大于非定期组(P<0.05)。结论出院后定期行心电图复查对ACS患者PCI术后康复护理方案的拟定具有指导意义,于患者预后提升有利。

Objective To explore the guiding significance and prognostic impacts of regular ECG reexamination on the rehabilitation nursing scheme after ACS interventional therapy. Methods A total of 130 ACS patients having received PCI were selected and divided into regular group （n--56） and non-regular group （n=74） according to the voluntary regular ECG reexamination （three, six and 12 months after the operation） after hospital discharge. Targeted rehabilitation nursing instructions were given to the regular group based on the results of ECG reexamination. The quality of life, symptom improvement and relief of harmful feelings of the two groups were learnt about by follow-up by means of correspondence, Email and home visit, etc. Results Within the 12 months after the operation, the SAQ score and WHOQOL-BREF score of the two groups were significantly improved in comparison with those before the operation, and those of the regular group increased more than those of the non-regular group （P 〈 0.05）; the HAMD, STAI and other harmful feeling scores were much lower than those before the operation, and those of the regular group decreased more than those of the non-regular group （P 〈 0.05）. Conclusion Regular ECG reexamination after hospital discharge has guiding significance for developing rehabilitation nursing scheme for ACS patients having received PCI and is helpful for improving the prognosis.