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目的探讨急诊因素对急性心肌梗死(AMI)患者发病后6个月健康相关生存质量的影响。方法应用SF-36量表对2003年10月至2005年12月广东省人民医院收治的89例急诊AMI患者发病后6个月的生存质量进行调查,通过多元线性回归分析和协方差分析筛选出影响AMI患者生存质量的急诊相关因素。结果SF-36量表总评分和躯体功能、躯体角色、一般健康状况、心理健康等维度评分与年龄呈负线性关系(P<0.05)。总评分和肌体疼痛、一般健康状况、生命力、情感角色、心理健康等维度评分与平均动脉压有正线性关系(P<0.05)。社会功能评分与干预时间呈负线性关系(P<0.05)。3个部位梗死患者的躯体角色评分低于单个、2个部位梗死患者(P<0.05);3个部位梗死患者的社会功能评分低于单个部位梗死患者(P<0.05);单个部位梗死患者的总评分高于2个部位梗死患者(P<0.05),也高于3个部位梗死患者(P<0.01)。直接介入治疗患者的生命力评分高于溶栓治疗患者(P<0.05)。结论急诊AMI患者发病时年龄大、平均动脉压低和梗死范围广与发病后6个月生存质量较低有关;尽早治疗和直接介入治疗与发病后6个月生存质量较高有关。
Objective To investigate the impact of emergency factors on the health-related quality of life in patients with acute myocardial infarction (AMI) at 6 months after onset. Methods The quality of life of 89 patients with acute AMI admitted to Guangdong Provincial People’s Hospital from October 2003 to December 2005 was investigated by using SF-36 scale. Six months after the onset of disease, the quality of life was screened by multivariate linear regression analysis and covariance analysis Emergency related factors affecting the quality of life in AMI patients. Results The total score of SF-36 scale and the dimensions of body function, body, general health and mental health were negatively correlated with age (P <0.05). The total score and body pain, general health status, vitality, emotional role, mental health and other dimensions score and mean arterial pressure had a positive linear relationship (P <0.05). There was a negative linear relationship between social function score and intervention time (P <0.05). The scores of physical function in 3 patients with infarction were lower than those in 2 patients with single infarction (P <0.05). The scores of social function in 3 patients with infarction were lower than those in patients with single infarction (P <0.05) The total score was higher than that in 2 patients (P <0.05) and higher than those in 3 patients (P <0.01). The vitality score of direct intervention was higher than thrombolytic therapy (P <0.05). Conclusion The incidence of AMI in patients with emergent age, mean arterial pressure and a wide range of infarction and 6 months after onset of low quality of life related to; early treatment and direct intervention and the incidence of 6 months after the higher quality of life.