CAJ | 학술논문

目的：研究吸烟对冠状动脉旁路移植术(CABG)后早期生存质量的影响。方法随机入选2011年1月~2013年1月接受冠状动脉旁路移植术，并符合纳入标准的连续患者共120例。根据术前是否有吸烟史，分为吸烟组(60例)和未吸烟组(60例)，分别在术后3、6、12个月向患者发放SF-36(short form-36)生存质量调查量表，对患者生存质量予以评定，分析吸烟对患者术后生存质量的影响。结果与未吸烟组比较，吸烟组患者冠状动脉旁路移植术后3、6、12个月躯体健康评分(PCS)和精神健康评分(MCS)以及生存质量总评分QOL均降低，差异有统计学意义(P<0.01)。结论与未吸烟组比较，吸烟组患者冠状动脉旁路移植术后早期生存质量降低，吸烟是影响冠状动脉旁路移植术后早期生存质量恢复不佳的危险因素。
목적：연구흡연대관상동맥방로이식술(CABG)후조기생존질량적영향。방법수궤입선2011년1월~2013년1월접수관상동맥방로이식술，병부합납입표준적련속환자공120례。근거술전시부유흡연사，분위흡연조(60례)화미흡연조(60례)，분별재술후3、6、12개월향환자발방SF-36(short form-36)생존질량조사량표，대환자생존질량여이평정，분석흡연대환자술후생존질량적영향。결과여미흡연조비교，흡연조환자관상동맥방로이식술후3、6、12개월구체건강평분(PCS)화정신건강평분(MCS)이급생존질량총평분QOL균강저，차이유통계학의의(P<0.01)。결론여미흡연조비교，흡연조환자관상동맥방로이식술후조기생존질량강저，흡연시영향관상동맥방로이식술후조기생존질량회복불가적위험인소。
Objective To assess the influence of smoking on early quality of life (QOL) in patients after coronary artery bypass graft (CABG) surgery.Methods The prospective study included 120 consecutive patients undergoing CABG between January 2011 and January 2013, who met inclusion criteria and completed short form-36 (SF-36) health status survey at 3 months, 6 months, 12 months after CABG. According to preoperative smoking history, divided into smoking group (60 cases) and non-smoking group (60 cases). Changes of quality of life and the influence of smoking on early quality of life in patients after CABG were analyzed.Results Compared with non-smoking, physical component summary (PCS) and mental component summary (MCS) and QOL total scores about smoking group of patients were lower at 3 months, 6 months, 12 months after CABG (P<0.01), the difference was statistically significant.Conclusion Compared with non-smoking, early QOL after CABG on smoking group of patients is reduced, smoking is risk factor to affect early QOL after CABG .