冠状动脉旁路移植术后患者生存质量分析

Investigation on quality of life and correlation factors in patients with CABG

目的了解非体外循环冠状动脉旁路移植术(OPCABG)和经典体外循环冠状动脉旁路移植术(CCABG)术后患者生命质量状况及导致生命质量受限的原因。方法选取解放军总医院心血管外科进行冠状动脉旁路移植术(CABG)患者,其中OPCABG病例150例,CCABG100例;采用欧洲5维生命质量量表(EQ-5D)问卷调查对比OP-CABG和CCABG术后生命质量,分析导致生命质量下降的原因。结果CABG术后患者生命质量较满意,在行动、自我照顾、日常活动、疼痛/不适和焦虑/沮丧方面,完全不受限的比例分别为82.0%,93.9%,94.7%,80.7%和78.9%;OPCABG和CCABG术后患者生命质量无明显差别;导致CABG术后生命质量下降的主要原因是桥血管病变和心律失常。结论CABG术后患者生命质量较满意,OPCABG和CCABG术后患者生命质量无明显差别。CABG术后生命质量下降的主要原因是桥血管病变和心律失常。

Objective To compare the quality of life（QOL） between patients with off-pump coronary artery bypass grafting（OPCAB） and with conventional coronany artery bypass grafting（CCABG） and to find out the influnce factors of QOL.Methods The QOL of patients with OPCABG or CCABG were invested with the Euro quality of life-5-dimension questionnaire,and the QOL of patients with different operations were compared.Results The ratio of no-limitation in mobility,self-care,usual activities,pain,and anxiety/distress were 82.0%,93.9%,94.7%,80.7% and 78.9%,respectively amont the patients with coronary artery bypass grafting（CABG）.There was no-difference in QOL between the OPCABG group and CCABG group.The main factors which affected the quality of life were grafts lesions and cardiac arrhythmia.Conclusion Grafts lesion and cardiac arrhythmia in patients after CABG are the main factors affecting QOL.