Greberski Krzysztof, Łuczak Maciej, Danielecki Cezary, Buszkiewicz Karol, Kazimierczak Olga, Burchardt Paweł, Perek Bartłomiej, Lisiński Przemysław, Bugajski Paweł
Department of the Prevention of Cardiovascular Diseases, Poznan University of Medical Sciences, Poznan, Poland.
Department of Cardiac Surgery, J Strus Multidisciplinary Hospital, Poznan, Poland.
Cardiol J. 2024;31(6):843-849. doi: 10.5603/cj.95753. Epub 2024 Jul 17.
The presence of locomotive disorders may negatively impact the outcome of cardiac surgeries. This retrospective study aimed to assess the effect of preoperative diagnosis of locomotive disorders requiring the continuous use of orthopedic devices on postoperative rehabilitation and stable sternum adhesion.
The study included 122 patients who underwent cardiac surgery, with 68 patients in the study group having a musculoskeletal disorder and 54 patients in the control group without such disorders. Preoperative demographic, clinical, and laboratory data as well as postoperative rehabilitation and sternum adhesion were evaluated.
The results showed that patients in the study group had lower levels of calcium (p < 0.001), vitamin D (p < 0.001), and creatine kinase (p = 0.022) prior to the surgery. In the early postoperative period, 8 patients from the study group and 4 from the control group required reoperation due to sternal instability (p = ns). In the late postoperative period, sternal instability was present in 2 patients from the study group and 3 from the control group (p = ns). The survey study revealed a significantly better (p = 0.029) evaluation of postoperative rehabilitation among the study group patients.
Overall, the results indicated that a preoperative locomotive disorder has no significant impact on sternal instability in the early or late postoperative periods. However, patients with such disorders have a better understanding of the importance, purpose, and course of rehabilitation after cardiac surgery and exhibit lower levels of calcium, vitamin D, and creatinine.
运动障碍的存在可能会对心脏手术的结果产生负面影响。这项回顾性研究旨在评估术前诊断为需要持续使用矫形器械的运动障碍对术后康复和胸骨稳定粘连的影响。
该研究纳入了122例行心脏手术的患者，研究组68例患者存在肌肉骨骼疾病，对照组54例患者无此类疾病。评估了术前的人口统计学、临床和实验室数据以及术后康复和胸骨粘连情况。
结果显示，研究组患者术前钙（p<0.001）、维生素D（p<0.001）和肌酸激酶水平（p=0.022）较低。术后早期，研究组有8例患者因胸骨不稳定需要再次手术，对照组有4例（p=无统计学意义）。术后晚期，研究组有2例患者存在胸骨不稳定，对照组有3例（p=无统计学意义）。调查研究显示，研究组患者对术后康复的评价明显更好（p=0.029）。
总体而言，结果表明术前运动障碍对术后早期或晚期的胸骨不稳定没有显著影响。然而，患有此类疾病的患者对心脏手术后康复的重要性、目的和过程有更好的理解，并且钙、维生素D和肌酐水平较低。
