Simons L A, Simons J, Parfitt A
University of New South Wales Lipid Research Department, St Vincent's Hospital, Sydney, NSW.
Med J Aust. 1994 Nov 7;161(9):536-7.
To assess coronary risk factors and management 6-12 months after coronary artery bypass grafting.
Patient survey by questionnaire after discharge from hospital in 1994 and comparison with similar surveys from 1990 and 1986.
One hundred and ninety-four patients undergoing coronary artery bypass grafting at one hospital campus between 1 March 1993 and 31 August 1993. Replies to questionnaires were received from 175 patients (90%); we had clinical and biochemical data for 166-175 patients (86%-90%).
The proportion with hypercholesterolaemia (serum cholesterol levels > or = 6.5 mmol/L) declined from 60% in 1986 to 9% in 1994. Those with diastolic hypertension (> or = 95 mmHg) declined from 23% to 3%. The proportion of current smokers remained low at 6%. The proportion overweight had increased from 32% in 1986 to 47% in 1994. The proportion taking lipid-regulating drugs increased from 2% in 1986 to 37% in 1994.
Coronary risk factors after coronary artery bypass grafting appear to be better managed in 1994 than in earlier years, but there may still be a need for improvement in lipid disorders and weight.
评估冠状动脉搭桥术后6至12个月的冠心病危险因素及管理情况。
1994年患者出院后通过问卷调查，并与1990年和1986年的类似调查进行比较。
1993年3月1日至1993年8月31日期间在一家医院院区接受冠状动脉搭桥术的194例患者。收到了175例患者（90%）对问卷的回复；我们有166至175例患者（86% - 90%）的临床和生化数据。
高胆固醇血症（血清胆固醇水平≥6.5 mmol/L）患者的比例从1986年的60%降至1994年的9%。舒张压高血压（≥95 mmHg）患者的比例从23%降至3%。目前吸烟者的比例仍较低，为6%。超重者的比例从1986年的32%增至1994年的47%。服用调脂药物的比例从1986年的2%增至1994年的37%。
1994年冠状动脉搭桥术后的冠心病危险因素管理似乎比早年更好，但脂质紊乱和体重方面可能仍有改善的必要。
