تاثیر هشت هفته بازتوانی قلبی بر شاخص‌های همودینامیک و پروفایل چربی خون در بیماران مرد 55 تا 70 ساله جراحی پیوند عروق کرونری cabg

زمینه و هدف: طبق گزارش سازمان بهداشت جهانی بیماری های قلبی عروقی (chd) شایع ترین علت مرگ و میر در سطح دنیا می باشد. هدف از انجام تحقیق حاضر تبیین تاثیر هشت هفته بازتوانی قلبی بر شاخص های همودینامیک و پروفایل چربی خون در بیماران مرد 55  تا 70 ساله جراحی پیوند عروق کرونری  cabgبود. روش کار: برای انجام تحقیق نیمه تجربی حاضر که با طرح پیش آزمون پس آزمون انجام شد از بین بیماران مرد با دامنه سنی 55 تا 70 سال پیوند عروق کرونری مراجعه کننده به مرکز قلب ساری (120 نفر)، 40 نفر به صورت داوطلب انتخاب و به صورت تصادفی به دو گروه کنترل و تجربی تقسیم شدند. 24 ساعت قبل و 48 ساعت پس از تمرینات متغیرهای تحقیق اندازه گیری شدند همچنین گروه تجربی به مدت 8 هفته، 3 جلسه در هفته و هر جلسه 4560 دقیقه تمرینات بازتوانی را انجام دادند. یافته‌ها: نتایج نشان داد هشت هفته بازتوانی قلبی بر بهبود شاخص های همودینامیک فشار خون سیستولی و دیاستولی و ضربان قلب استراحتی و پروفایل چربی خون تاثیر دارد. نتیجه ‌گیری: با توجه نتایج توصیه می شود بعد از جراحی پیوند عروق کرونر از تمرینات بازتوانی قلبی زیر نظر پزشک استفاده شود.

the effect of eight weeks of cardiac rehabilitation on hemodynamic parameters and blood lipid profile in male patients 55-70 years old cabg coronary artery bypass graft surgery

background & aims: an increasing number of elderly individuals are now undergoing coronary artery bypass surgery. elderly patients, compared with patients of a younger age group, present for surgery with a greater burden of risk factors and reduced functional levels. short‐term outcomes are hence poorer in them. but symptom relief occurs in most survivors and is accompanied by excellent rates of long‐term survival and a good quality of life. therefore, an individualised risk–benefit profile must be carefully constructed by clinicians, taking into account several different factors and not just age alone. this review summarises the current concepts of coronary artery bypass surgery from the perspective of the very old. this, unfortunately, is not an easy question to answer. risk–benefit profiles are individualised, and each elderly patient must be assessed on his or her own merit. there are no universally accepted standards for selection or rejection of patients for surgery. an elderly person with few background illnesses and a good expected quality and length of life would probably stand to benefit from cabg. on the other hand, an octogenarian with several comorbidities and an expected suboptimal quality of life after surgery would probably be best managed conservatively. the greatest risk, however, is in the critically ill elderly patient for whom the cabg operation may be the best of several high‐risk options. due to the effect of cardiac rehabilitation in the secondary prevention of cardiovascular diseases and accidents on the one hand and the high direct and indirect treatment costs imposed on insurance organizations due to drug and surgical interventions on the other hand is covered. giving a cardiac rehabilitation program due to its high clinical benefits, including reducing blood pressure risk factors and blood lipid profile and increasing the functional capacity of vascular transplant patients, reducing per capita drug use, reducing mortality and increasing life expectancy for the benefit of patients and society it is also in the interest of insurance companies. therefore, the researcher seeks to answer the question of whether eight weeks of cardiac rehabilitation affect hemodynamic parameters and blood lipid profile in male patients 55 to 70 years of age with cabg coronary artery bypass graft surgery.methods: for the present quasiexperimental study, which was performed with a pretestposttest design, among male patients with an age range of 55 to 70 years, coronary artery bypass graft referring to sari heart center (120 people), 40 people were selected as volunteers and were randomly divided into control and experimental groups. the research variables were measured 24 hours before and 48 hours after the exercises. also, the experimental group performed rehabilitation exercises for 8 weeks, 3 sessions per week and each session for 4560 minutes. research variables were assessed using a heart rate monitor, hand barometer and blood sampling. finally, descriptive statistics (mean and standard deviation) and shapirovilk and independent ttests were used using spss software at a significance level of p <0.05 for statistical analysis of data.results: before comparing the results of the two groups, the data were analyzed using shapirowilk test to determine the normal distribution, which showed that the data distribution is normal. also, according to the assumption of equality of variances based on levin test, the first row of ttest table was used, which showed that 8 weeks of cardiac rehabilitation has a significant effect on hemodynamic parameters and blood lipid profile of coronary artery bypass graft surgery patients.conclusion: the results of this study showed that eight weeks of cardiovascular rehabilitation has an effect on hemodynamic parameters and blood lipid profile in men 55 to 70 years old by bypass surgery.