Nery Rosane Maria, Barbisan Juarez Neuhaus, Mahmud Mahmud Ismail
Health Science Post-Graduate Program at Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Porto Alegre, RS.
Rev Bras Cir Cardiovasc. 2007 Jul-Sep;22(3):297-302. doi: 10.1590/s0102-76382007000300005.
To evaluate the frequency changes of physical activity practice in pre- and postoperative of the patients submitted to coronary artery bypass graft surgery (CABG) and the frequency influence on the physical activity practice in the patients' preoperative prognosis.
Cases studies of 55 patients submitted to CABG divided into active and sedentary regarding physical activity practices.
After CAGB, 14 (47%) patients classified as sedentary before surgery were practicing exercises (p = 0.03). Seventeen (59%) sedentary patients in the preoperative period presented complications after the surgery compared to 8 (31%) active patients (p = 0.04). The hospital length of stay among sedentary patients versus active patients before surgery was 15 (SD=8) and 12 (SD=5) days; p=0.03, respectively.
The present study showed the importance of physical activity practice in the preoperative stage on the outcomes of coronary artery bypass surgery. The patients physically active had a shorter hospital length of stay and a lower number of both trans- and postoperative complications within 1 year. The cardiac surgery promoted the patients' change of habits, increasing the number of physically active patients during the 1-year follow-up.
评估接受冠状动脉旁路移植术（CABG）的患者术前和术后身体活动情况的频率变化，以及术前身体活动频率对患者预后的影响。
对55例接受CABG的患者进行病例研究，根据身体活动情况分为活跃组和久坐组。
CABG术后，术前被归类为久坐的14例（47%）患者开始进行锻炼（p = 0.03）。术前久坐的17例（59%）患者术后出现并发症，而活跃组为8例（31%）（p = 0.04）。术前久坐患者与活跃患者的住院时间分别为15（标准差=8）天和12（标准差=5）天；p = 0.03。
本研究表明术前身体活动对冠状动脉旁路移植手术的结果具有重要意义。身体活跃的患者住院时间较短，术后1年内的术后并发症和术中并发症数量均较少。心脏手术促使患者改变习惯，在1年随访期间增加了身体活跃患者的数量。
