Barbarash O L, Shabalina L V, Bergen E I, Guliaeva E N, Barbarash N A
Ter Arkh. 1998;70(12):31-5.
To assess preoperative stress in patients with ischemic heart disease (IHD) and its influence on the course of early intraoperative period.
79 patients scheduled for aortocoronary bypass operation were studied to assess the phenomenon of preoperative psychoemotional stress (clinical characteristics, personal anxiety, humoral and vegetative regulation.
24 hours before operation IHD patients became anxious, coronary insufficiency and arrhythmia aggravated as shown by Holter ECG monitoring. Initial insufficiency of the antioxidant system, disturbances of the platelet-vascular hemostasis, hyperlipidemia and dyslipoproteinemia enhanced. Preoperative changes due to stress reaction affected the course of early intraoperative period.
It is necessary to apply individual schemes of stress-limiting preoperative preparation in IHD patients.
评估缺血性心脏病（IHD）患者的术前应激及其对早期术中期病程的影响。
对79例计划进行主动脉冠状动脉搭桥手术的患者进行研究，以评估术前心理情绪应激现象（临床特征、个人焦虑、体液和自主调节）。
术前24小时，IHD患者变得焦虑，动态心电图监测显示冠状动脉供血不足和心律失常加重。抗氧化系统初始功能不足、血小板-血管止血紊乱、高脂血症和血脂蛋白异常加剧。应激反应引起的术前变化影响了早期术中期的病程。
有必要对IHD患者应用个体化的术前应激限制准备方案。
