Dickey J L
J Am Osteopath Assoc. 1989 Oct;89(10):1309-14, 1319-22.
More than 250,000 patients yearly undergo coronary bypass graft surgery accomplished via the median sternotomy incision, an approach that has been gaining widespread acceptance. This surgical approach has been associated with a growing number of patients with structural complaints. This article describes a postoperative treatment protocol for improving healing and reducing musculoskeletal disability associated with such cardiac procedures and presents a logical sequence of treatment graded to the patient's changing condition and stage of healing. The author challenges the osteopathic medical profession to meet the opportunity that exists to educate patients and physicians about the benefits of osteopathic healthcare.
每年有超过25万名患者接受通过正中胸骨切开术切口完成的冠状动脉搭桥手术，这种方法已得到广泛认可。这种手术方法导致出现结构问题的患者数量不断增加。本文描述了一种术后治疗方案，用于改善愈合情况并减少与此类心脏手术相关的肌肉骨骼功能障碍，并提出了根据患者病情变化和愈合阶段分级的合理治疗顺序。作者向整骨医学专业提出挑战，要抓住这个向患者和医生宣传整骨医疗保健益处的机会。
