首页|年轻冠心病心肌梗死患者危险因素的随访研究

年轻冠心病心肌梗死患者危险因素的随访研究

Young patients with myocardial infarction, coronary heart disease risk factors of follow-up study

扫码查看
目的:对年轻冠心病心肌梗死患者进行随访,探讨危险因素的控制情况。方法:对181例,年龄小于45岁,同时确诊心肌梗死(符合2007年ESC 共识心肌梗死诊断新标准),符合上述标准,入选本研究。入选对象共181人,其中有157人,完成了2年随访,随访率为86.74%。对所有患者采取群体教育与个体指导,包括健康教育、运动锻炼、控制饮食、戒烟限酒等。部分确诊高血压、2型糖尿病患者给予的降压、降糖药物治疗。所有入选本研究的患者,均给予患者抗血小板聚集、抗动脉粥样硬化治疗。随访采用门诊、电话随访或住院随访诊治的形式,随访1年、2年,分别测定患者的血压、甘油三酯、体重指数、腰围、空腹血糖等指标的变化。随访终止于进入调查后的2年。统计学处理计数资料用χ2检验,计量资料用t检验,采用SPSS17.0统计软件进行数据处理。结果:随访2年后,所有患者SBP、DBP、甘油三酯、体重指数、体重、腰围较随访前明显降低;但SBP、DBP、腰围(120.55±16.43)、甘油三酯(1.71±0.38)等指标,总体上未达标;在完成随访的157人,吸烟人数较前明显下降,但仍有89人仍在吸烟。结论:对年轻冠心病心肌梗死患者实施的行为干预,在改善患者行为生活方式、控制血压、血糖、降低体重等方面有积极作用,但仍不达标。因此临床上需继续通过宣教、随访的形式进行干预。把危险因素控制在目标水平内,从而防止再次出现心血管不良事件,改善预后。
objective:To fol ow-up of young patients with myocardial infarction, coronary heart disease, to explore risk factors of control.Methods In 181 cases, younger than 45 years old, and myocardial infarction (ESC 2007 consensus diagnosis of myocardial infarction (mi) new standard), conforms to the standard, in this study. Selected object, a total of 181 people, including 157 people, has completed 2 years of fol ow-up, the fol ow-up rate was 86.74%. For al patients to community education and individual guidance, health education, exercise, diet, quit alcohol, etc. Part of the diagnosis of hypertension, type 2 diabetes for buck, hypoglycemic drugs. Al patients included in this study, giving patients antiplatelet aggregation, anti treatment of atherosclerosis. Adopt outpatient fol ow-up, the form of a fol ow-up telephone fol ow-up or hospital make a diagnosis and give treatment, fol ow-up of 1 year, 2 years, were determined in patients with blood pressure, triglycerides, body mass index, waist circumference, fasting blood sugar and other indicators of change. Fol ow-up after entering the investigation ended in 2 years. Statistical processing count data by chi-square test, measurement data using t test, using SPSS17.0 statistical software for data processing.Results:For young patients with myocardial infarction, coronary heart disease, behavior intervention in improving the patients' lifestyle behavior, control of blood pressure, blood sugar, reduce weight, etc have a positive effect, but stil not up to standard. So to be continued by missionary, clinical fol ow-up in the form of intervention. Control the risk factors within the target levels, thus to prevent the occurrence of cardiovascular adverse events again, improve the prognosis.

Myocardial infarctionFolow-up intervention

古丽娜尔·白托拉、马依彤

展开 >

新疆医科大学第一附属医院心脏中心冠心病二科 830054

心肌梗死 随访干预

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(10)
  • 1