【摘要】 目的 研究冠心病患者对他汀类药物治疗依从性和对预后的影响。方法 206例住院冠心病患者，均行冠状动脉造影术(冠脉造影)，分为他汀组(包括行PTCA+支架术及未行血运重建治疗但LDL-C>2.6mmol/L的患者)和非他汀组(血管狭窄为50%～70%且LDL-C<2.6mol/L的患者)。结果 平均随访1.2年后他汀组患者出院后服药率占62%，至少进行1次血脂复查者占60%，LDL-C达标率为32.4%，未用他汀组患者出院后以上指标分别为 24.5%、41.6%、40.8%。二者对心血管事件影响差异无显著性。结论 院内予以他汀类药物治疗可提高患者的依从性，服用他汀类药物影响高危冠心病患者的心血管事件。

    【关键词】 冠心病；调脂治疗；服药率；达标率

    Clinic contrast analysis for CAD with stains therapy

    ZHANG Li-gang，BAI Xi-ming,GAO Hua.

    Department of Cardiology,Erdos Cardio-cerebrovascular Disease Hospital,Inner Mongolia 017000,China

    【Abstract】 Objective To investigate acceptability and impact prognosis to coronary disease patients with stains therapy.Methods Two hundreds and six inhospital patients with coronary artery disease (CAD) of selected coronary artery angiography(SCA),were divided into two groups:one group received stains including the patients of using percutaneous transluminal cardiac angioplasty (PTCA) and no vasoconstriction therapy but LDL-C>2.6mmol/L.The other no using stains (the luminal diameter reduced 50～70% but LDL-C <2.6mmol/L).Results Received stains group using drug rate was 62% vs 24.5%.At least checking.LDL-C once was 60% vs 41.6%; LDL-C targetity was 32.4% vs 40.8% average respectively 1.2 year later.Conclusion Inhospital patients with CAD received stains therapy could increase acceptability.Statins impacted the coronary events with high CAD risk. ......