上一讲我们主要介绍了出院后冠心病病人社区管理中的一些基本技巧,这讲我们将介绍冠心病病人社区管理的目标和转诊。冠心病病人的管理目标社区管理冠心病病人的重要目的就是预防病人发生心肌梗死等严重的心血管事件。由于大多数冠心病患者合并“代谢综合征”的众多表现,如糖尿病、血 The previous talk We mainly introduced some basic skills in community management of patients with CHD after discharge. Here we will introduce the goal of community management and referral of CHD patients. Management Objectives of Patients with Coronary Heart Disease An important goal of community-based management of patients with coronary artery disease is to prevent serious cardiovascular events such as myocardial infarction in patients. Because most patients with coronary heart disease with “metabolic syndrome” many manifestations, such as diabetes, blood