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各位朋友大家好，现在是“每天健康三分钟”时间，我是安阳道简医院的医生郑俊博。今天和大家聊聊冠脉支架术后需要做些什么。

一.树立正确观念，装了支架不等于冠心病治愈，不少装了支架的患者以为装完支架冠心病就治愈了，终于可以松一口气，从此高枕无忧了，无需药物治疗。这里要提醒广大病人及家属们注意，冠心病是一个慢性、逐渐进展的过程，支架可以迅速开通阻塞的血管，改善心肌缺血，有效缓解症状，从而减少冠心病事件。但这并不意味着冠心病治愈，放支架只是打通了部分堵塞的血管，不能延缓或逆转整体动脉硬化进程，高血脂等主要的心血管危险因素仍然存在。会促使动脉粥样硬化发生发展，装支架的或其他的血管仍可能再次发生狭窄。支架术后，冠心病患者复发和死亡风险仍然极高，尤其是术后1年内，所以我们要提高警惕，不能掉以轻心。

二.就算是忘了吃饭也不能忘记吃药，当然这个说法有点小夸张，主要是为了突出用药的重要性。有的患者觉得放完支架后，没有了以前的难受症状，感到万事大吉，结果自行停药，这样做是很危险的。支架植入人体后如果不坚持服药很容易在这个地方长出血栓来，导致血管再次堵塞，所以患者需要回家坚持并按时服用抗血小板的药物才行。

三.化验单上血脂正常也不能随意停用降脂药。血脂正常值“因人而异”，一般而言，化验单上只是针对正常人群的血脂参考范围，根据各大临床指南，“支架”患者属于极高危患者，

“坏”胆固醇LDL-C值应降低至＜1.8mmol/L。这是因为血脂中的“坏”胆固醇是心脑血管疾病发生的罪魁祸首，它在动脉血管内壁慢慢沉积，形成动脉粥样硬化斑块，使血管变窄甚至堵塞，这些斑块如同血管内的“炸弹”，一旦爆破，便引发心梗、脑梗等心脑血管疾病，他汀可降低“坏”胆固醇，抗击动脉粥样硬化，是“支架”患者预防冠心病复发的基石药物之一。

【英文版】

What should be done after coronary stent implantation part 1

Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Zheng Junbo, a doctor of Anyang Daojian Hospital.Today, I'd like to talk about what patients need to do after coronary stent implantation.

1. Set up a correct concept, installed stent is not equal to the cure of coronary heart disease.

Many patients with stent that installed stent coronary heart disease is cured, finally can breathe a sigh of relief, from then on, no need for drug treatment. Here we should remind the majority of patients and their families that coronary heart disease is a chronic and progressive process. Stent can quickly open the blocked blood vessels, improve myocardial ischemia, effectively relieve symptoms, and reduce coronary heart disease events. But this does not mean that coronary heart disease is cured.Stent placement can only partially open the blocked blood vessels,but it can not delay or reverse the overall development of atherosclerosis Progress, hyperlipidemia and other major cardiovascular risk factors still exist,will promote the occurrence and development of atherosclerosis,stent vessels or other vessels may still occur stenosis again. After stenting, the risk of recurrence and death in patients with coronary heart disease is still very high,especially within one year after stenting, so we should be vigilant and not take it lightly.

2. Even if you forget to eat, you can't forget to take medicine.

Of course, this statement is a bit exaggerated, mainly to highlight the importance of medication. Some patients feel that after putting the stent, they have no symptoms and feel that everything is OK. As a result, they stop taking the drug by themselves, which is very dangerous.If we don't insist on taking medicine after stent implantation, it's easy to grow thrombus at the place where the stent is placed, which leads to blood vessel blockage again.Therefore, patients need to go home and insist on taking antiplatelet drugs on time.

3.The blood lipid on the test sheet is normal, and the lipid-lowering drugs can not be stopped at will.

The normal value of blood lipids varies from person to person. Generally speaking, the test sheet only refers to the reference range of blood lipids for normal people.According to major clinical guidelines, patients with "stent" are extremely high-risk patients,The LDL-C value of "bad" cholesterol should be reduced to less than 1.8 mmol / L.This is because the "bad" cholesterol in blood lipids is the main cause of cardiovascular and cerebrovascular diseases.It slowly deposits on the inner wall of arteries, forming atherosclerotic plaques, narrowing or even blocking the blood vessels. These plaques are like "bombs" in blood vessels.Once exploded, they will lead to myocardial infarction, cerebral infarction and other cardiovascular and cerebrovascular diseases.Statins can reduce the level of "bad" cholesterol, Anti atherosclerosisis one of the cornerstone drugs to prevent coronary heart disease recurrence.

4. Health care products can not replace lipid-lowering drugs.

The advertisements of health care products are full of hype and claim to be safe and effective. Many patients believe it after seeing the advertisements and use health care products instead of drugs for treatment without authorization.As a result, restenosis after stent implantation is caused, which leads to adverse cardiovascular events.Keep in mind that the efficacy of drugs cannot be replaced by health products.