Shakouri Seyed Kazem, Salekzamani Yaghoub, Taghizadieh Ali, Sabbagh-Jadid Hamed, Soleymani Jamal, Sahebi Leyla, Sahebi Roya
Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
J Cardiovasc Thorac Res. 2015;7(1):13-7. doi: 10.15171/jcvtr.2015.03. Epub 2015 Mar 29.
Prevention of pulmonary complications after coronary artery bypass graft is attended as a very important issue. The aim of this study was to evaluate the role of pulmonary rehabilitation before surgery for reducing the risk of pulmonary complications after surgery.
In a randomized clinical trial, 60 patients undergoing heart surgery were randomly divided into two groups A and B. Chest physiotherapy was performed before and after surgery on group A patients however it was done on group B's, only after surgery. Effects of preoperative pulmonary rehabilitation were compared between two groups, using spirometry and arterial blood gas (ABG).
Thirty nine males (65%) and 21 females (35%) with mean age of 8.10 ± 9.56 were analyzed. The mean differences were statistically significant for predicted forced vital capacity (FVC) (CI 95%:1.3 to 8.7) and Predicted Peak Flow indices (PEF) (CI 95%: 1.9 to 9.4) of spirometry indicator, PCO2 index (of ABG parameter) (CI 95%: 1.4 to 8.9) and mean oxygen saturation (mean Spo2) (CI 95%: 0.6 to 1.7) of ABG index in two groups.
The performance of pulmonary rehabilitation program before surgery is recommended, as it may result in the reduction of complications of heart surgery.
冠状动脉搭桥术后肺部并发症的预防是一个非常重要的问题。本研究的目的是评估术前肺康复在降低术后肺部并发症风险方面的作用。
在一项随机临床试验中，60例接受心脏手术的患者被随机分为A组和B组。对A组患者在手术前后进行胸部物理治疗，而B组仅在术后进行。使用肺活量测定法和动脉血气（ABG）比较两组术前肺康复的效果。
分析了39名男性（65%）和21名女性（35%），平均年龄为8.10±9.56岁。两组肺活量测定指标的预测用力肺活量（FVC）（95%置信区间：1.3至8.7）和预测峰值流量指数（PEF）（95%置信区间：1.9至9.4）、ABG参数的PCO2指数（95%置信区间：1.4至8.9）以及ABG指数的平均血氧饱和度（平均Spo2）（95%置信区间：0.6至1.7）的平均差异具有统计学意义。
建议在手术前进行肺康复计划，因为这可能会减少心脏手术的并发症。
