冠状动脉搭桥术后康复的随访研究

Rehabilitation after Coronary Artery Bypass:90 day Follow-up Study

目的随访观察冠状动脉搭桥术后康复对患者生活质量和有氧运动能力的影响。方法58例冠状动脉搭桥术后的患者分为康复组(n=31)和对照组(n=27),对照组给予常规药物治疗,康复组定期予以康复指导。所有患者均在术后第15天和第90天时由专门医生进行简明健康调查量表(SF-36)评定和6min步行试验测定。结果与对照组相比,康复组患者SF-36量表除躯体疼痛指标无显著性差异外,其余各项均有非常显著性差异(P<0.01)。康复组6min步行试验成绩明显优于对照组(P<0.01)。结论康复有助于冠状动脉搭桥术后患者有氧运动能力的提高和生活质量的改善。

Objective To observe the effects of rehabilitation on the quality of life and capacity of aerobic exercise in patients after coronary artery bypass graft. Methods 58 patients after coronary artery bypass graft were divided into rehabilitation group （n= 31） and control group （n=27）. Patients in the control group received routine drug treatment out of hospital, while the rehabilitation group was guided regularly for rehabilitation. All patients were surveyed with the MOS item short form health survey （SF-36） and 6 min walking test on the 15th and the 90th day after operation. Results Compared with the control group,the scores of all the items of SF-36 in rehabilitation group improved （P〈0.01） except in body pain. The result of 6MWT was also higher in rehabilitation group than in controls（P〈0.01）. Conclusion Rehabilitation can improve capacity of aerobic exercise and the quality of life of patients after coronary artery bypass grafting.