冠状动脉病变程度对经皮冠状动脉介入治疗患者生活质量的影响

Effects of pathological change degrees of coronary artery on quality of life of patients undergoing percutaneous coronary intervention

目的探讨冠状动脉病变程度对经皮冠状动脉介入治疗患者生活质量的影响。方法将136例冠心病患者按Gensini评分分为轻度组51例、中度组41例、最度组44例，均行经皮碰状动脉介入治疗。于手术前24h及术后12个月应用西雅图心绞痛量表进行测评分析。结果术前重度组躯体活动受限程度维度分显著低于轻度组和中度组（P〈0．05），治疗满意程度维度分显著低于轻度组（P〈0．05）；术后12个月，3组西雅图心绞痛量表各维度分均较术前显著丌高（P〈0．05），组间比较差异无显著性（P〉0．05）。结论经皮冠状动脉介入治疗能显著提高患者的生活质量，但不同病变程度患者生活质量的改善程度不存在明显差异。

Objective To analyze the effects of pathological change degrees of coronary artery on quality of life of patients undergoing percutaneous coronary intervention （PCI）. Methods A total of 136 patients with coronary heart disease （CHD） were divided into mild （n=51）, moderate （n=41） and severe group （n=44） according to Gensini scores. All patients had undergone PCI. Assessments were conducted with Seattle Angina Questionnaire （SAQ） in hour 24 before operation and month 12 after operation. Results Before operation the SAQ score on limitation of activity was significantly lower in severe than in mild and moderate group （P〈0.05） ; in month 12 after operation all dimensions scores of the SAQ of all 3 groups heightened more significantly （P〈0.05） and group differences weren＇t significant （P〈0.05）. Conclusion PCI significantly improve patients＇ quality of life and the improvement degrees of quality of life have no obvious difference among patients with different degrees of pathological change.