Dubach P, Myers J, Wagner D
Cardiology Division, Kantonsspital Chur Switzerland.
Eur Heart J. 1998 Nov;19 Suppl O:O35-7.
Structured programmes of rehabilitation have been shown to be effective in restoring functional capacity, increasing return to work and improving the psychosocial status of patients following open heart surgery. However, uncertainty still exists about the optimal timing of rehabilitation after cardiac surgery. Data in the literature suggest that phase II rehabilitation can begin as early as one week after open heart surgery without having a negative influence on infections, mortality or readmissions. Early rehabilitation can even improve graft patency after CABG. However, age, operative complications and co-morbidities must be considered individually for each patient when determining the beginning of phase II rehabilitation.
结构化康复计划已被证明在恢复心脏直视手术后患者的功能能力、提高重返工作岗位的几率以及改善心理社会状况方面是有效的。然而，心脏手术后康复的最佳时机仍存在不确定性。文献数据表明，二期康复最早可在心脏直视手术后一周开始，且不会对感染、死亡率或再入院率产生负面影响。早期康复甚至可以提高冠状动脉旁路移植术（CABG）后的移植物通畅率。然而，在确定二期康复的开始时间时，必须针对每个患者单独考虑年龄、手术并发症和合并症。
