Arefizadeh Reza, Hariri Seyed Yaser, Moghadam Adel Johari
Department of Cardiology, AJA University of Medical Sciences, Tehran, Iran.
Khatamolanbia Air Defence Medical University, Tehran, Iran.
Open Access Maced J Med Sci. 2017 May 7;5(3):290-294. doi: 10.3889/oamjms.2017.057. eCollection 2017 Jun 15.
A few studies have compared the cardiac rehabilitation (CR) outcome between those who undergo conventional on-pump bypass surgery and off-pump surgery. We compared this outcome among the patients differentiated by the On-pump and off-pump surgical procedures about cardiovascular variables and psychological status.
This longitudinal study recruited 318 and 102 consecutive patients who had undergone CABG (on-pump surgery, n = 318 and off-pump surgery, n = 102) and been referred to the CR clinic.
The off-pump surgery patients had more improvement in their metabolic equivalents (METs) value. The physical and mental components of health-related quality of life (QOL) (based on SF-36 questionnaire) as well as depression-anxiety (based on Costello-Comrey Depression and Anxiety Scale) were notably improved in the two study groups after the CR program, while changes in the QOL components scores and also depression-anxiety score were not different between the off-pump and on-pump techniques.
Regarding QOL and psychological status, there were no differences in the CR outcome between those who underwent off-pump bypass surgery and those who underwent on-pump surgery; nevertheless, the off-pump technique was superior to the on-pump method on METs improvement following CR.
一些研究比较了接受传统体外循环搭桥手术和非体外循环手术患者的心脏康复（CR）结果。我们比较了根据体外循环和非体外循环手术程序区分的患者在心血管变量和心理状态方面的这一结果。
这项纵向研究连续招募了318例接受冠状动脉旁路移植术（CABG）（体外循环手术，n = 318；非体外循环手术，n = 102）并被转诊至CR诊所的患者。
非体外循环手术患者的代谢当量（METs）值改善更大。在CR计划实施后，两个研究组中与健康相关的生活质量（QOL）（基于SF - 36问卷）的身体和心理成分以及抑郁 - 焦虑（基于Costello - Comrey抑郁和焦虑量表）均有显著改善，而非体外循环和体外循环技术之间在QOL成分得分以及抑郁 - 焦虑得分的变化方面并无差异。
在生活质量和心理状态方面，接受非体外循环搭桥手术的患者与接受体外循环手术的患者在CR结果上没有差异；然而，在CR后，非体外循环技术在改善METs方面优于体外循环方法。
