Horgan D, Davies B, Hunt D, Westlake G W, Mullerworth M
Med J Aust. 1984 Oct 27;141(9):587-90.
A psychiatric assessment was carried out before operation, and at three months and 12 months after operation, in 77 men undergoing coronary artery bypass graft surgery. Neither psychiatric assessment before the operation nor perioperative surgical assessment could predict the physical outcome of surgery. The physical results of surgery were good, but there was a 20% decrease in the number of patients who were in employment after the operation. Abnormally high scores on measures of anxiety and depression were present in about 50% of patients before the operation, and in about one-third of patients after the operation. Impairment in various aspects of personality-functioning since surgery was reported by 7%-29% of patients. These complaints were not correlated with the surgical result. Attention is drawn to this area of persisting postoperative morbidity.
对77例接受冠状动脉搭桥手术的男性患者在手术前、术后3个月和12个月进行了精神科评估。术前的精神科评估和围手术期的外科评估均无法预测手术的身体结局。手术的身体结果良好，但术后就业患者数量减少了20%。术前约50%的患者焦虑和抑郁量表得分异常高，术后约三分之一的患者也是如此。7%-29%的患者报告称术后人格功能的各个方面出现了损害。这些主诉与手术结果无关。需关注这一持续存在的术后发病领域。
