冠心病的危险因素及二级预防策略被引量：37

下载PDF

导出

摘要冠心病目前已经成为全球范围内危害人类健康的一项重要疾病,其高发病率、病死率均已经给各个国家和人民带来了严重的医疗经济及精神负担。冠心病为一种慢性疾病,其发病与多种危险因素有关,需要终身用药控制其危险因素,从而降低其发病率及病死率。经皮冠状动脉介入术(PCI术)是治疗冠心病的一种重要手段。但PCI并不能彻底治疗冠状动脉粥样硬化,也不能阻止粥样硬化进程。而且PCI术后血管再狭窄及支架内血栓形成限制了PCI术的长期疗效。因此,PCI术后二级预防亦是冠心病防治的重要环节。但对于冠心病二级预防来说,指南的规范和临床的实践仍然具有一定差距。这一方面由于临床医师对于冠心病二级预防重视不足;另一方面与病人服药依从性存在很大关系。

作者王欣琛

机构地区山西医科大学

出处《中西医结合心脑血管病杂志》 2016年第11期1303-1304,共2页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

关键词冠心病冠状动脉介入治疗二级预防依从性影响因素

分类号 R541.4 [医药卫生—心血管疾病] R256.2 [医药卫生—中医内科学]

引文网络
相关文献

参考文献16

1Chhatriwalla AK,Bhatt DL.Should dual antiplatelet therapy after drug - eluting stents be continued for more than 1 year[J].Circ- Cardiaovas Intervent,2008,1(3) :217 - 225.
2Lerman A, Eeckhout E.Coronary endothelial dysfunction follow- ing sirolimus - eluting stent placement: should we worry about it? [J].Eur Heart J,2006,27(2) : 125- 126.
3孔灵芝.慢性非传染性疾病流行现状、发展趋势及防治策略[J].中国慢性病预防与控制,2002,10(1):1-2. 被引量：190
4陈灏珠.内科学[M].北京:人民卫生出版社,2008:274-302.
5翟莉,黄岚,智光,吕豪,黄建新,彭珊,葛贤顺.200例冠心病心肌梗死患者危险因素分析[J].中国心血管杂志,2004,9(1):56-58. 被引量：58
6Jorge P, Giancarlo V, Steven H.Aherosclerosis in type - 2 diabe- tes mellitus and insulinresistance= mechanistic links andthera- peutic targets [J].Journal of Diabems and Its Complications, 2002,16(6) :401 - 415.
7胡大一,马长生.心脏病学实践2007[M].北京:人民卫生出版社,2007.470-475.
8Siqueira DA, Abizaid AA, Costa Jde R, et al .Late incomplete ap- position after drug -eluting stent implantation: incidence and po- tential for adverse clinical outcomes [J].Eur Heart J, 2007, 28 (11) .-1304- 1309.
9Ozkan Y, Ozkan E, Simek B.Plasma total homocysteine and cys- teine levels as cardiovascular risk factors in coronary heart dis- ease[J].lnt J Cardioh 2002,82( 3), 269 - 277.
10Tataru MC, Heinrich J,Junker R, et al .C- reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris[J].Eur Heart J, 2000, 21,1000- 1008.

二级参考文献13

1刘琳,岳淑英,李金丽,卢世臣.健康教育对首发精神分裂症病人自知力恢复、服药依从性及复发的影响[J].中华护理杂志,2004,39(5):330-332. 被引量：185
2Willamson DF. Kahn HS, Byers J. The 10-yincidence of obesity and major weight gain in black US wonmen Aged 30～55y [J]. Am J Clin Nutr, 1991,53:1515s.
3Pimenta L, Bassan R, Potsch A, Soares JF. Albanesi Filho FM. Is female sex an independent predictor of in-hospital mortality in acute myocardial infarction [J ]? Arq Bras Cardiol.2001,22:37-50.
4Fein FS,Scheuer JP. In=Rifkin H Heart disease in diabeties Diabetes Mellitus :Theory and Practice[J]. 4th ed. NEW YPRK:Elsevier, 1990, 812-813.
5Hanbly RI, Sherman L, Mehta J, Aintablian A. Reappraisal of the role of the diabetic state in coronary artery disease[J].Chest, 1976,70:257-260.
6Assmann G,Schuhe H. The Prospective Cardiovascular Munster (PROCAM) study: prevalence of hyperlipidemia in persons with hypertension and/or diabetes mellitus and the relation to coronary heart disease[J]. Am Heart J. 1988. 1161713-1724.
7Collins, R. Peto R, MacMahon ,S, et al. Blood pressure, stroke ,and coronary heart disease. Part 2, Short-term reductions in blood pressure:Overview of randomized drug trials in their epidemiological context[J]. Lancet, 1990, 335 : 827.
8Manson JE, Colditz GA, Stampfer MJ,et al. A prospective study of obesity and risk of coronary heart disease in women[J]. N Engl J Med, 1990,322:8082-8086.
9Savage LS,Grap MJ.Telephone monitoring after early discharge for cardiac surgery patients.Am J Crit Care,1999,8(3):145-159.
10刘贤臣.论患者的依从性[J].国外医学：社会医学分册,1998,5(4):237-237.