Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1401
2
1
gregorian
2022
5
1
29
3
online
1
fulltext
fa
تاثیر هشت هفته بازتوانی قلبی بر شاخصهای همودینامیک و پروفایل چربی خون در بیماران مرد 55 تا 70 ساله جراحی پیوند عروق کرونری CABG
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
فیزیولوژی ورزش
Exercise Physiology
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">زمینه و هدف: </span></span></span></span></b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">طبق گزارش سازمان بهداشت جهانی</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">بیماری­های قلبی عروقی</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">(</span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">CHD</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">) </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">شایع­ترین علت مرگ و میر در سطح دنیا می­باش</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">د. هدف از انجام تحقیق حاضر تبیین </span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">تاثیر هشت هفته بازتوانی قلبی بر شاخص­های همودینامیک و پروفایل چربی خون در بیماران مرد</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">55</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"> تا</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">70</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">ساله جراحی پیوند عروق کرونری </span></span></span></span><b> </b><span dir="LTR" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">CABG</span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">بود. </span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">روش­ کار:</span></span></span></span></b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"> برای انجام تحقیق نیمه تجربی حاضر که با طرح پیش آزمون- پس آزمون انجام شد از بین بیماران مرد با دامنه سنی</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">55</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">تا</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">70</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">سال پیوند عروق کرونری مراجعه کننده به مرکز قلب ساری (120 نفر)، 40</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">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 اندازه­گیری شدند همچنین گروه تجربی به مدت 8 هفته، 3 جلسه در هفته و هر جلسه 45-60 دقیقه تمرینات بازتوانی را انجام دادند.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">یافتهها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">نتایج نشان داد هشت هفته بازتوانی قلبی بر بهبود شاخص­های همودینامیک فشار خون سیستولی و دیاستولی و ضربان قلب استراحتی و پروفایل چربی خون تأثیر دارد</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black">.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:#0070c0">نتیجه­گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"> با توجه نتایج توصیه می­شود بعد از جراحی پیوند عروق کرونر از تمرینات بازتوانی قلبی زیر نظر پزشک استفاده شود.</span></span></span></span><b><span dir="LTR" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></b></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""><span style="color:black"></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span dir="LTR"></span><span dir="LTR"></span>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Background & Aims:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">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.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Methods:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black"> For the present quasi-experimental study, which was performed with a pre-test-post-test 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 45-60 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 t-tests were used using SPSS software at a significance level of p <0.05 for statistical analysis of data.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black"> Before comparing the results of the two groups, the data were analyzed using Shapiro-Wilk 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 t-test 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.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:#0070c0">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"><span style="color:black">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. Coronary artery surgery for the elderly is now safer than ever before, owing to modern surgical techniques and pharmacological breakthroughs. Despite magnified perioperative and postoperative dangers, symptom relief occurs in most patients. Long‐term survival and quality of life are also preserved or enhanced in the majority. Clinicians must understand the normal physiological changes associated with ageing in order to construct a risk–benefit analysis that is specifically tailored to each patient. This analysis should take into account a patient's life expectancy and quality of life both before and after a procedure, and not just age alone. Discrepancies between chronological age and biological age must be dealt with. Further, the physician is expected to anticipate end‐of‐life issues and the potential need for rehabilitation or nursing home placement in the early postoperative period. Most important among all is that these issues must be discussed with the patients and their families. Hence, it is up to the patient and the clinician to explore the potential benefits of an improved quality of living with the attendant risks of the procedure versus alternative treatment. Advanced age alone should not be a deterrent for coronary artery bypass surgery if it has been determined that these benefits outweigh the potential risk. In this study, the findings showed that due to the high prevalence of cardiovascular disease in the country and the high per capita consumption of drugs and its high costs and the high importance of cardiovascular rehabilitation in reducing cardiovascular risk factors and secondary prevention and reduction Re-stroke in heart patients, including coronary artery bypass grafting, more attention to the issue of cardiac rehabilitation and the establishment of clinics and centers in this regard is necessary. It is hoped that using the results of this study, a clear view on the importance of the impact of these programs on officials and experts to pay more attention to these programs. However, lack of access to all members of society, lack of control over hereditary and psychological characteristics and lack of control over the economic and social conditions of the subjects are some of the limitations of the present study that may affect the results of the study.</span></span></span></span></span></span></span></span></span></span><br>
بازتوانی قلبی, همودینامیک, پروفایل چربی خون, پیوند عروق کرونری
Cardiac Rehabilitation, Hemodynamics, Blood Lipid Profile, Coronary Artery Bypass Grafting
1
7
http://rjms.iums.ac.ir/browse.php?a_code=A-10-6619-1&slc_lang=fa&sid=1
Fakhreddin
Mahdavi
فخرالدین
مهدوی
3900319475328460065230
3900319475328460065230
No
PhD Student, Department of Exercise Physiology, Damghan Branch, Islamic Azad University, Damghan, Iran
دانشجوی دکتری، گروه فیزیولوژی ورزش، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران
Tahere
Bagherpoor
طاهره
باقرپور
Bagherpoor_ta@yahoo.com
3900319475328460065231
3900319475328460065231
Yes
Assistant Professor, Department of Exercise Physiology, Damghan Branch, Islamic Azad University, Damghan, Iran
استادیار، گروه فیزیولوژی ورزش، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران
Nematollah
Nemati
نعمت الله
نعمتی
nemati@damghaniau.ac.ir
3900319475328460065232
3900319475328460065232
No
Department of Exercise Physiology, Damghan Branch, Islamic Azad University, Damghan, Iran.
دانشیار، گروه فیزیولوژی ورزش، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران