Ochała A, Gabrylewicz B, Garbocz P, Tendera M
Pol Merkur Lekarski. 2001 Aug;11(62):133-6.
The aim of our study was to determine the quality of life in elderly patients after PTCA using the SF 36 questionnaire measuring post procedural physical and mental health.
71 pts > 65 years (M-46, F-25), mean age 70.92 +/- 3.49, post PTCA were examined with SF 36 questionnaire.
73 pts < 65 years (M-61, F-12) mean age 53.6 +/- 7.37, post PTCA. The mean follow-up time was 19.3 +/- 3.2 month in the study group and 18.8 +/- 8.5 month in the control group (NS). The mean physical component summary score was 67.2 vs 69.7 points (NS) in the control group. The mean mental component summary score was 72.3 vs 74.4 points (NS) respectively. There were no significant differences between the groups in the following multi item domains: general health, vitality, social functioning, emotional role functioning and mental health, except physical functioning: 73.5 vs 76.3 points, p < 0.008 respectively. Additional questions asked revealed high satisfaction with performed PTCA, similar in both groups: 65 pts (91.6%) vs 71 pts (98.6%) (NS). 70 (99%) elderly pts considered this method most valuable and would undergo this procedure eagerly again, if necessary. During the observation 21 (29.6%) elderly pts required hospitalization because of the chest pain, 2 pts (2.8%) had nonfatal myocardial infarction and 3 pts (4.2%) underwent surgical revascularisation (CABG). In the control group 12 pts (16.4%) were re-hospitalized, 1 pt (1.4%) required CABG and no acute cardiac events were observed. Smoking was continued significantly more frequently in the younger pts: 12 (16.4%) vs 2 (2.8%) p = 0.05. 72 (98.6%) younger pts and 60 (84.5%) elderly pts reported regular cholesterol level control (NS). Our data suggest that PTCA in elderly pts with symptomatic coronary artery disease, is well tolerated and reflects positively in their quality of life after the procedure.
我们研究的目的是使用SF-36问卷测定经皮冠状动脉腔内血管成形术（PTCA）后老年患者的生活质量，该问卷用于测量术后的身心健康状况。
71例年龄大于65岁的患者（男性46例，女性25例），平均年龄70.92±3.49岁，PTCA术后接受SF-36问卷检查。
73例年龄小于65岁的患者（男性61例，女性12例），平均年龄53.6±7.37岁，PTCA术后。研究组的平均随访时间为19.3±3.2个月，对照组为18.8±8.5个月（无显著性差异）。对照组的平均身体成分综合评分分别为67.2分和69.7分（无显著性差异）。平均精神成分综合评分分别为72.3分和74.4分（无显著性差异）。在以下多个项目领域中，两组之间无显著差异：总体健康、活力、社会功能、情感角色功能和心理健康，但身体功能方面存在差异：分别为73.5分和76.3分，p<0.008。额外询问的问题显示，两组患者对所进行的PTCA均高度满意：65例（91.6%）对71例（98.6%）（无显著性差异）。70例（99%）老年患者认为该方法最有价值，如有必要，会急切地再次接受该手术。在观察期间，21例（29.6%）老年患者因胸痛需要住院治疗，2例（2.8%）发生非致命性心肌梗死，3例（4.2%）接受了外科血管重建术（冠状动脉搭桥术）。对照组中有12例（16.4%）再次住院，1例（1.4%）需要进行冠状动脉搭桥术，未观察到急性心脏事件。年轻患者继续吸烟的比例明显更高：12例（16.4%）对2例（2.8%），p=0.05。72例（98.6%）年轻患者和60例（84.5%）老年患者报告定期控制胆固醇水平（无显著性差异）。我们的数据表明，有症状冠状动脉疾病的老年患者接受PTCA后耐受性良好，且术后生活质量有积极反映。
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