Schmitz W, Welsch-Hetzel M
Abteilung für Spezielle Thoraxchirurgie, Chirurgische Universitätsklinik, Heidelberg.
Langenbecks Arch Chir. 1987;371(2):149-59. doi: 10.1007/BF01251906.
Between April 1981 and May 1983, 921 patients with coronary sclerosis underwent a bypass operation. Following the operation, 327 of these patients were asked to give their professional status. These were compared with the surgical result and the clinical findings. During the 22-month follow-up period 47.1% were without work. 52.9% returned to work after an average of 3.3 months. The following factors played a significant role in the decision whether or not to return to work: 1) the age of the patient (p less than 0.001); 2) the degree of physical stress to which the patient was subjected in his job before the operation (p less than 0.001); 3) the severity of the postoperative angina pectoris symptoms (p less than 0.01); 4) the improvement in the output of the left ventricle (p less than 0.05) and 5) the participation in rehabilitation treatment (p less than 0.01). By reducing the preliminary investigation period, increasing the operation capacity and making more effective use of the rehabilitation programme, more people could return to work after the operation and this in turn would increase our patients' quality of life.
1981年4月至1983年5月期间，921例冠状动脉硬化患者接受了搭桥手术。术后，其中327例患者被询问了他们的职业状况。将这些情况与手术结果和临床发现进行了比较。在22个月的随访期内，47.1%的患者无法工作。52.9%的患者在平均3.3个月后重返工作岗位。以下因素在决定是否重返工作岗位方面发挥了重要作用：1）患者年龄（p<0.001）；2）患者术前工作中承受的身体压力程度（p<0.001）；3）术后心绞痛症状的严重程度（p<0.01）；4）左心室输出量的改善情况（p<0.05）；5）参与康复治疗的情况（p<0.01）。通过缩短术前检查期、提高手术能力以及更有效地利用康复计划，更多患者术后能够重返工作岗位，这反过来又会提高我们患者的生活质量。
