Papadopoulos C, Shelley S I, Piccolo M, Beaumont C, Barnett L
Chest. 1986 Nov;90(5):681-5. doi: 10.1378/chest.90.5.681.
Although successful rehabilitation of coronary artery bypass surgery (CABS) patients should include consideration of their sexuality, there is a paucity of data regarding their sexual activity (SA). One hundred thirty-four patients were interviewed in regard to the impact of surgery on their sexuality and the relation of SA to their work status. Eighty-four of the 92 previously sexually active patients and two of the inactive ones resumed SA. Sexual dissatisfaction prior to surgery was a negative factor (p less than .05), while return to work, in the group that was working before, was positive (p less than .05) for resumption of SA. The average time before resumption of SA after CABS was 7.8 weeks. Thirty-nine percent of patients decreased the frequency of SA. Seventeen percent of patients and 35 percent of their partners expressed fear of resumption of SA. Twenty-three percent of patients had symptoms during intercourse. The couples who resumed sexual activity had a closer emotional relationship (p less than .02). Two-thirds of the patients received sexual instructions, but in only 20 percent of the cases did the physician himself initiate discussion. Although after CABS patients fare much better in regard to SA when compared to myocardial infarction patients reported in other studies, CABS does not provide a net gain in SA and sexual functioning. Comprehensive sexual counseling is still not being adequately addressed.
尽管冠状动脉搭桥手术（CABS）患者的成功康复应包括对其性方面的考虑，但关于他们性活动（SA）的数据却很匮乏。就手术对其性方面的影响以及性活动与工作状态的关系，对134名患者进行了访谈。92名之前有性活动的患者中有84名以及2名无性活动的患者恢复了性活动。手术前的性方面不满是一个负面因素（p<0.05），而对于之前工作的患者群体，恢复工作对性活动的恢复是一个积极因素（p<0.05）。CABS后恢复性活动的平均时间为7.8周。39%的患者降低了性活动频率。17%的患者及其35%的伴侣表示害怕恢复性活动。23%的患者在性交时有症状。恢复性活动的夫妻情感关系更亲密（p<0.02）。三分之二的患者接受了性方面的指导，但只有20%的情况是医生自己主动展开讨论的。尽管与其他研究中报道的心肌梗死患者相比，CABS患者在性活动方面情况要好得多，但CABS在性活动和性功能方面并未带来净改善。全面的性咨询仍未得到充分解决。
