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各位朋友，大家好，现在是“每天健康三分钟”时间，我是安阳道县医院医院的护士高竹君，今天我来给大家讲讲做完心脏支架后最怕什么。
现在，随着冠心病治疗的进展，其介入治疗也在不断地发展，很多不稳定型心绞痛以及心肌梗死的病人接受了支架治疗以后，需注意很多问题，最怕的主要有如下两点：
1、心脏支架做完之后，最怕病人不吃药；有些病人做完心脏支架以后，发现病情明显减轻，认为冠心病已经好了，吃不吃药都无所谓，或者虽然在医生的监督下吃了一两个月的药，但回去以后就把药停了，这种做法是非常错误的；冠心病的全称叫冠状动脉粥样硬化性心脏病，心脏所有的冠状动脉均会发生狭窄，只是其程度不同，支架只解决了最严重的冠状动脉狭窄，而不能解决所有的冠状动脉狭窄；所以，做完手术之后，一定要按时吃药；吃药的目的是防止心脏支架再次发生狭窄，防止其它的冠状动脉的粥样硬化程度再次加重；
2、做完心脏支架手术以后的病人，在日常生活中一定要多运动；有的病人做完手术以后走两个极端，认为自己的病完全好了，无需任何锻炼，久而久之身体越来越胖，人也越来越懒；另外一个极端是有些病人认为自己的病好了，像年轻人一样进行剧烈的运动，这也是不提倡的，剧烈的运动还是有一定的风险。
支架手术并不是一劳永逸的方法，所以大家在术后仍需坚持改善生活方式，做到：①合理饮食，以低盐、低脂、低糖为主；②戒烟限酒，需严格戒烟，最好不要饮酒；③适当运动，以有氧运动为主，讲求循序渐进；④控制体重，肥胖者注意减肥；⑤规律作息和保持良好的心态，避免熬夜、劳累、情绪激动等。
我们在改善生活方式的同时，也要注意长期服用阿司匹林和他汀类药物，并配合使用至少一年的氯吡格雷，也要积极治疗高血压、糖尿病、高血脂等基础疾病，控制血压、血糖、血脂达标。我们在规范化治疗的同时，也要注意监测病情变化和定期复查。
最后祝大家生活愉快，身体健康！想了解更多心血管科普小知识，请关注我们，咱们下期见。
【英文版】
What is the doctor most worried about after cardiac stent implantation?
Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Gao Zhujun, a nurse of Anyang Daojian Hospital.Today, I'd like to tell you what doctors are most worried about after cardiac stent implantation.
Now, with the progress of the treatment of coronary heart disease, the interventional treatment of coronary heart disease is also in constant development,many patients with unstable angina pectoris and myocardial infarction after accepting stent implantation, there are many problems to pay attention to, among which the doctors are most worried about the following two problems.
1. After cardiac stent implantation, doctors are most worried about the patient's discontinuation of medication. Some patients after cardiac stent implantation, found that the condition significantly reduced, that his coronary heart disease has been cured, it does not matter whether to take medicine, so discontinue drug treatment. Although some patients take medicine for one or two months under the supervision of doctors, they stop taking medicine after they leave hospital.
This is very wrong. The full name of coronary heart disease is coronary atherosclerotic heart disease. All coronary arteries of the heart may have stenosis, but the degree is different. Stent implantation can only solve the most serious coronary artery stenosis, but can not solve all coronary artery stenosis. Therefore, after the operation, patients must take medicine on time. The purpose of taking the medicine is to prevent the restenosis of the cardiac stent and to prevent the aggravation of atherosclerosis in other coronary arteries.
2. Patients who have undergone cardiac stent implantation must exercise more in their daily life.After the operation, patients may go to two extremes. Some people think that their disease is completely cured, and they don't need any exercise. As time goes by, they become fatter and lazier. The other extreme is that some patients think that their illness is better, and they take strenuous exercise like young people, this is not advocated. Strenuous exercise still has certain risks.
