Functional status after coronary artery bypass grafting and percutaneous transluminal coronary angioplasty.
Functional status after coronary artery bypass grafting and percutaneous transluminal coronary angioplasty.
复制标题
冠状动脉旁路移植术和经皮腔内冠状动脉成形术后的功能状态。
DOI：
10.1016/0002-9149(90)90926-r
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
D. Becker
中科院分区：
文献类型：
--
作者：
J. Allen;S. Fitzgerald;R. Swank;D. Becker
两组年龄相当、术前心功能相似、接受冠状动脉旁路移植术（CABG; n = 106）或经皮腔内冠状动脉成形术（PTCA; n = 64）的连续患者进入一项前瞻性比较研究，检查恢复后第一年的功能状态和恢复工作情况。在术后1个月、6个月和12个月，使用标准化功能状态工具对患者的日常生活活动、工作表现、社会活动、心理健康和社会交往质量进行评估。在CABG组中，在1年随访期间，每个子量表的功能状态均有统计学显著改善。与基线相比，接受PTCA的患者在所有维度上均表现出显著改善，但1年时的相互作用质量除外。当比较两组时，在1个月和6个月时，PTCA组比CABG组在日常身体和社交活动方面表现出更大的参与度，但这种明显的优势在1年后消失了。CABG术后心理功能指标优于PTCA术后。CABG组和PTCA组的就业人数均减少，与身体功能状态指标无关，两组在手术后均有所改善。对于那些有工作的人，CABG组报告工作表现的改善最大。
Two cohorts of consecutive patients of comparable age with similar preprocedure cardiac function who underwent either coronary artery bypass grafting (CABG; n = 106) or percutaneous transluminal coronary angioplasty (PTCA; n = 64) were entered into a prospective comparison study examining functional status and return to work during the first year of recovery. Patients were evaluated using standardized functional status instruments for activities of daily living, work performance, social activity, mental health and quality of social interaction at 1, 6 and 12 months after the procedure. Within the CABG group, statistically significant improvements of functional status on every subscale were noted over the 1-year follow-up. Patients undergoing PTCA demonstrated significant improvement in all dimensions except for the quality of interaction at 1 year as compared with baseline. When the 2 groups were compared, the PTCA group demonstrated greater participation than the CABG group in routine daily physical and social activities at 1 and 6 months, but this apparent advantage disappeared by 1 year. Measures of psychological functioning were better after CABG than after PTCA. A reduction in the number of those with employment occurred in both the CABG and PTCA groups, independent of physical functional status measures, which improved in both groups after the procedures. For those with employment, the CABG group reported the greatest improvement in work performance.