冠状动脉旁路移植后与肺部并发症相关的临床和功能结果
Altina Vitória Souza1, Raquel da Cunha Carvalho1, Daniela da Cruz Dias1
1Centro Universitário Nobre, Red Bird Street, without number, Condominio Salvador Dali, house 47, Feira de Santana, BA, Brazil.
Journal of cardiothoracic surgery
|February 14, 2024
概括
冠状动脉旁路移植 (CABG) 后的术后并发症显著损害功能性能和肌肉力量. 这些缺陷在医院出院和手术后六个月仍然存在,影响了康复.
科学领域:
- 心血管外科心血管外科
- 肺部医学 肺部医学
- 康复医学 康复医学 康复医学
背景情况:
- 冠状动脉旁路移植 (CABG) 改善了冠状动脉疾病的结果,但存在风险.
- 肺部和功能性并发症可能会出现后CABG由于通风,旁路和不动,延长住院时间.
研究的目的:
- 评估CABG手术后出现肺部并发症的患者的临床和功能结果.
- 评估术后并发症对患者康复和长期功能的影响.
主要方法:
- 一项前性队列研究,涉及90名接受CABG的患者.
- 根据ICU事件,患者被分为复杂 (CG) 和非复杂 (NCG) 组.
- 功能性评估包括六分钟步行测试 (6MWT),肌肉强度测试 (MRC,MIP) 和肺功能测试,在手术前和多个随访点测量.
主要成果:
- 与非复杂组 (NCG) 相比,复杂组 (CG) 的6MWT距离 (13%) 和肌肉力量 (MRC 14%,MIP 16%) 显著下降.
- 对于6MWT,MRC和MIP,CG中的这些功能缺陷在统计学上是显著的 (p < 0.01).
- 国民政府只经历了这些措施的轻微下降,通常在统计学上没有显著意义.
结论:
- 在CABG之后的术后肺部并发症与功能性能和肌肉强度的降低有关.
- 这些障碍在医院出院后仍然存在,并在手术后的六个月内持续存在.
- 早期发现并发症和管理对于改善CABG后患者的长期结果至关重要.
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