| 葛春阳,殷实,方中良,等.老年综合评估在改善老年冠心病患者预后中的作用[J].中国临床保健杂志,2019,22(3):337-341. |
| 老年综合评估在改善老年冠心病患者预后中的作用 |
| The role of comprehensive geriatric assessment (CGA) in improving the prognosis of elderly patients with coronary heart disease |
| 投稿时间：2019-02-15 |
| DOI：10.3969/J.issn.1672-6790.2019.03.012 |
| 中文关键词: 冠心病 老年综合评估 预后 老年人 |
| 英文关键词: Coronary disease Comprehensive geriatric assessment Prognosis Aged 〖FL |
| 基金项目:中央引导地方科技发展专项专业性技术创新平台项目(2017070503B041,YDZX20183400002555);安徽省重点实验室绩效项目(1606c08236) |
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| 中文摘要: |
| 目的 探讨开展老年综合评估(CGA)对老年冠心病患者预后的作用。方法 将接受住院治疗的70岁以上老年冠心病患者136例按随机数字表法分为对照组与研究组,每组患者68例。对照组患者给予心内科专科治疗与护理,研究组患者在对照组患者治疗的基础上开展老年综合评估,并进行针对性干预,治疗后随访1年,观察两组患者干预前后的生活质量评分以及两组患者住院期间冠心病不良事件发生率、平均住院时间、平均住院费用。结果 (1)两组患者干预前生活质量评分差异无统计学意义(P均>0.05)。(2)经干预治疗后,两组患者生活质量评分均较干预前明显提高,组内对比差异有统计学意义(P均<0.01),且研究组患者提高更明显；组间对比差异有统计学意义(P<0.05)。(3)住院期间,两组患者均未出现心源性死亡,研究组冠心病心脏不良事件发生率显著低于对照组,差异有统计学意义(P<0.05)。(4)研究组住院时间及住院费用均显著低于对照组,差异有统计学意义(P均<0.05)。结论 对老年冠心病患者进行CGA并进行针对性干预治疗,可有效提高患者生活质量减少心脏不良事件发生、有效缩短住院时间、减少住院费用。 |
| 英文摘要: |
| Objective To analyze the role of comprehensive assessment of the elderly (CGA) in the prognosis of elderly patients with coronary heart disease.Methods A total of 136 elderly patients with coronary heart disease over 70 years old who were hospitalized in our hospital from May 2017 to May 2018 were randomly divided into control group and study group.Each group contained 68 patients.Patients in the control group were treated with cardiology specialists and nursing.The patients in the study group underwent comprehensive evaluation of the elderly on the basis of the treatment of the control group,and targeted interventions were performed.After the treatment,the patients were followed up for 1 year.The quality of life scores of the two groups before and after intervention as well as the incidence of coronary heart disease adverse events,average hospital stay,and average hospitalization expenses during hospitalization were observed.Results (1) There was no significant difference in the quality of life scores between the two groups before intervention (P>0.05).(2) After intervention,the quality of life scores of the two groups were significantly higher than those before the intervention.The difference between the two groups was statistically significant (P<0.01),and the increase was more obvious in the study group.The difference between the groups was statistically significant (P<0.05).The difference between the groups was statistically significant (P<0.05).(3) During hospitalization,there was no cardiac death in the two groups.The incidence of cardiac adverse events in the study group was significantly lower than that in the control group,and the difference was statistically significant (P<0.05).(4) The average hospitalization time and average hospitalization cost of the study group were significantly lower than those of the control group,and the difference was statistically significant (P<0.05).Conclusions CGA and targeted intervention for elderly patients with coronary heart disease can effectively improve the quality of life of patients,reduce the incidence of adverse cardiac events,effectively shorten the length of hospital stay,and reduce the cost of hospitalization. |
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