心脏瓣膜置换术后患者生活质量的研究进展

Research progress on the quality of life in patients after cardiac valve replacement

心脏瓣膜病是心脏外科常见疾病之一,手术治疗是心脏瓣膜病的主要治疗措施。手术纠正了血流动力学紊乱的问题,但疾病本身、治疗措施、术后长期抗凝、随访等多重因素可能影响患者的生活质量。该文将对生活质量相关概述(由来及定义、评估)和心脏瓣膜置换术后患者的生活质量(生活质量评估的目的和意义,心脏瓣膜置换术后患者在不同时间、不同维度的生活质量,心脏瓣膜病术后患者生活质量的影响因素)作一综述,旨在为术前患者做抉择、术后临床医务人员对患者采取干预措施提供临床依据。

Valvular heart disease is one of the common diseases in cardiac surgery. Surgery is the main treatment for valvular heart disease. Cardiac valve replacement surgery corrects the disordered haemodynamics, but the quality life of patients may be affected by multiple factors, such as the disease itself, treatment measures, long-term postoperative anticoagulant and follow-up. This article will provide an overview of the quality of life(origin and definition, evaluation)and the quality of life of patients after cardiac valve replacement(the purpose and significance of quality of life assessment,the quality of life of patients after cardiac valve replacement at different times and different dimensions, influencing factors of the quality of life of patients after surgery), aiming to provide clinical evidence for patients to make decisions before surgery and for clinical medical staff to take intervention measures for patients after surgery.