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目的调查第二军医大学长海医院经皮冠状动脉介入治疗的急性冠脉综合征患者住院期间及出院后二级预防控制情况。方法收集2009年1月1日至2011年12月31日在第二军医大学长海医院行冠脉介入的急性冠脉综合征患者的病史资料。调查和分析住院期间以及出院后1个月、半年、1年时患者二级预防措施及药物使用情况。结果该研究分析了238例行经皮冠脉介入治疗的急性冠脉综合征患者资料。住院期间,吸烟患者被强制戒烟,阿司匹林、血管紧张素转换酶抑制剂(ACEI)/血管紧张素Ⅱ受体阻滞剂(ARB)、β受体阻滞剂和他汀类药物的使用率分别为96.6%、73.1%、68.9%和92.4%。出院后1个月、半年及1年时,阿司匹林的使用率分别为98.3%、95.8%和94.1%,ACEI/ARB的使用率分别为72.3%、69.7%和63.4%,β受体阻滞剂使用率分别为68.1%、62.2%和52.1%;他汀类药物使用率分别为91.6%、88.7%和83.6%;男性患者未吸烟率分别为86.4%、77.9%和78.6%,女性患者未吸烟率分别为100%、98.8%和98.8%;血压控制率分别为93.3%、95.4%和94.3%;血糖控制率分别为98.3%、96.2%和97.5%。结论急性冠脉综合征患者行经皮冠状动脉介入治疗后,二级预防各项措施在住院期间均很充分,出院后逐渐降低。因此,我们需进一步加强冠心病患者的随访和教育,增强冠心病二级预防的控制。
Objective To investigate the secondary prevention and control of patients with acute coronary syndrome treated by percutaneous coronary intervention in Changhai Hospital of Second Military Medical University during hospitalization and after discharge from hospital. Methods The data of patients with acute coronary syndrome who received coronary artery intervention at Changhai Hospital of the Second Military Medical University from January 1, 2009 to December 31, 2011 were collected. Investigate and analyze secondary prevention and medication use during hospitalization and 1 month, 6 months and 1 year after discharge. Results The study analyzed 238 patients with acute coronary syndrome treated with percutaneous coronary intervention. During hospitalization, smokers were forced to quit smoking. The rates of use of aspirin, angiotensin-converting enzyme inhibitor (ACEI) / angiotensin II receptor blocker (ARB), beta blockers and statins were 96.6%, 73.1%, 68.9% and 92.4%. The rates of use of aspirin were 98.3%, 95.8% and 94.1% at 1 month, 6 months and 1 year after discharge, respectively. The rates of ACEI / ARB use were 72.3%, 69.7% and 63.4% respectively. Beta blockers The rates of statin use were 91.6%, 88.7% and 83.6%, respectively; the non-smoking rates of male patients were 86.4%, 77.9% and 78.6% respectively, and the non-smoking rates of female patients were 68.1%, 62.2% and 52.1% The rates of blood pressure control were 93.3%, 95.4% and 94.3%, respectively. The blood glucose control rates were 98.3%, 96.2% and 97.5% respectively. Conclusion After percutaneous coronary intervention in patients with acute coronary syndromes, the secondary prevention measures are adequate during hospitalization and gradually decrease after discharge. Therefore, we need to further strengthen the follow-up and education of patients with coronary heart disease and enhance the control of secondary prevention of coronary heart disease.