2023年2月第30卷第2期层级随访追踪管理在急性心肌梗死经皮冠状动脉介入术后出院患者中的应用张丽敏，方静，贾凌云（安阳市第六人民医院心血管二区，河南安阳455000）【摘要】目的探讨层级随访追踪管理在经皮冠状动脉介入术（PCI）后出院的急性心肌梗死（AMI）患者中的应用效果。方法100例AMI患者随机分为观察组（层级随访追踪管理，n=50）与对照组（常规随访管理，n=50），比较两组的干预效果。结果干预后，观察组的随访率及随访满意率均高于对照组，行为、环境、认知评分均高于对照组，MACE发生率低于对照组（P＜0．05）。结论层级随访追踪管理可提高出院AMI患者PCI后的随访质量，增强患者的自我管理能力，减少不良事件的发生。【关键词】层级随访追踪管理；急性心肌梗死；经皮冠状动脉介入术中图分类号：R473.5文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0245ApplicationofHierarchicalFollow-UpTrackingManagementinDischargedPatientswithAcuteMyocardialInfarctionAfterPercutaneousCoronaryIntervention//ZHANGLimin,FANGJing,JIALingyun(2ndWardofCardiovascularDepartment,AnyangSixthPeople'sHospital,Anyang455000,China)[Abstract]ObjectiveToexploretheapplicationeffectofhierarchicalfollow-uptrackingmanagementindischargedpatientswithacutemyocardialinfarction(AMI)afterpercutaneouscoronaryintervention(PCI).Methods100AMIpatientswererandomlydividedintotheobservationgroup(hierarchicalfollow-uptrackingmanagement,n=50)andthecontrolgroup(routinefollow-upmanagement,n=50).Theinterventioneffectsofthetwogroupswerecompared.ResultsAfterintervention,thefollow-uprateandfollow-upsatisfactionrate,andthescoresofbehavior,environmentandcognitionoftheobservationgroupwerehigherthanthoseofthecontrolgroup,andtheincidenceofMACEwaslowerthanthatofthecontrolgroup(P<0.05).ConclusionsHierarchicalfollow-uptrackingmanagementcanimprovethefollow-upqualityofdischargedAMIpatientsafterPCI,enhancetheirself-managementabilityandreducetheoccurrenceofadverseevents.[Keywords]Hierarchicalfollow-uptrackingmanagement;Acutemyocardialinfarction;Percutaneouscoronaryintervention急性心肌梗死（AMI）是心血管常见的危重急症，该病发病急、死亡率高［1］。经皮冠状动脉介入术（PCI）为治疗AMI...
