体外反搏技术在冠心病患者中的应用

艳 陈(武汉亚洲心脏病医院心脏康复科，中国)
英霞 郝(武汉亚洲心脏病医院心脏康复科，中国)

摘要

随着医学的发展，心脏康复已成为心脏病治疗领域的热点。体外反搏作为心脏康复中的一个无创、有效、安全的治疗措施，发挥着重要的作用。但其在心脏康复方面的作用及机制尚不完全清楚，现就近几年的相关文献综述体外反搏在心脏康复中的应用进展。

关键词

体外反搏；冠心病；应用

参考

［1］Watanabe H，Morimoto T，Shiomi H，etal．Documented coronary atherothrombosis as the cause of death in post-discharge patients after coronary revascularization[J].Cardiovasc Revasc Med,2018(05):597-606．

［2］黄勇,李蔚华,尹虹,等.体外反搏联合麝香保心丸对急性心肌梗死患者 PCI 术后 GDF-15、IL-6 的影响［J].现代中西医结合杂志,2018(14):1560-1562.

Maagaard M,Nielsen EE,Gluud C,etal.Ivabradine for coronary artery disease and /or heart failure-a protocol for a systematic review of randomised clinical trials with meta-analysis and trial sequential analysis[J]．Syst Ｒev, 2019(01):39.

陈用贵,宫丽鸿,杨柏松,等．稳斑汤联合增强型体外反搏治疗冠心病不稳定型心绞痛临床研究［J］．临床军医杂志,2018(10):1169-1171．

李金莲.老年冠心病患者心血管事件的危险因素与药物治疗效果分析[J].山西医药杂志,2018(13):1556-1558．

厉坤鹏,周茹珍,赵俊,等.增强型体外反搏在冠心病康复治疗中的临床研究[J]..心血管病防治知识:学术版,2016(02):30-34．

Lin W,Xiong L,Han J,etal.External counterpulsation augments blood pressure and cerebral flow velocities in ischemic stroke patients with cerebral intracranial large artery occlusive disease［J］．Stroke,2012(11):3007-3011．

国际体外反搏学会．心血管疾病康复处方——增强型体外反搏应用国际专家共识［J］.中华内科杂志,2014,53(07):587-590．

Shakouri SK,Ｒazavi Z,Eslamian F,etal.Effect of enhanced external counterpulsation and cardiac rehabilitation on quality of life,plasma nitric oxide,endothelin 1 and high sensitive CＲP in patients with coronary artery disease:a pilot study［J］.Ann Rehabil Med,2015(02):191-198．

［10］ Campbell AＲ,Satran D,Zenovich AG,etal.Enhanced external counterpulsation improves systolic blood pressure in patients with refractory angina［J］．Am Heart J,2009(06):1217-1222．

Zhang Y,He X,Chen X,etal.Enhanced external counterpulsation inhibits intimal hyperplasia by modifying shear stress responsive gene expression in hypercholesterolemic pigs［J］．Circulation,2007(05):526-534．

Yang DY,Wu GF．Vasculoprotective properties of enhanced external counterpulsation for coronary artery disease: beyond the hemodynamics［J].Int J Cardiol,2012(01):38-43．

Braverman DL．Enhanced external counterpulsation:a novel therapy for angina［J］．Complement Ther Clin Pract,2012,18(04):197-203．

余意君,刘涛,李春霞,等．体外反搏对稳定型心绞痛的治疗作用及患者左室功能的变化［J］.广东医学,2014,35(15):2367-2369．

Xiong Y,Ｒen YF,Xu J,et al．Enhanced external counterpulsation inhibits endothelial apoptosis via modulation of BIＲC2 and Apaf-1 genes in porcine hypercholesterolemia［J］．Int J Cardiol,2014(02):161-168．

杜健航,伍贵富,郑振声,等.增强型体外反搏对早期动脉粥样硬化斑块局部应力环境影响的实验与仿真研究［J］.中国生物医学工程学报,2014(02):246-251．

段小嬿,张树锋,陈英,等．增强型体外反搏对难治型心绞痛患者血压的影响[J].中国老年学杂志,2015(04):876-878.

Liu R,Liang ZJ,Liao XX,etal．Enhanced external counterpulsation improves cerebral blood flow following cardiopulmonary resuscitation［J］．Am J Emergency Med,2013(12):1638-1645．

［19］王秋艳,黄金林,侯海生,等.EECP 对于改善高血压病伴 IGT患者血管内皮功能以及 PWV 的影响[J].心脏杂志,2014(06):673-675.

［20］Jewell CW,Houck PD,Watson LE,etal. Enhanced external

counterpulsation is a regenerative therapy[J].Front Biosci(Elite Ed),2010(02):111-121.

［21］闵晓梅,王进 .体外反搏治疗冠心病不稳定型心绞痛,200 例临床观察［J］.心血管康复医学杂志,2013(03):276-278.

［22］Lawson WE,Hui JC,Kennard ED,etal. Enhanced external

counterpulsation is cost-effective in reducing hospital costs in refractory angina patients［J］.Clin Cardiol,20158(06):344-349.

Bondesson SM,Jakobsson U,Edvinsson L,etal. Hospital utilization and costs for spinal cord stimulation compared with enhanced external counterpulsation for refractory angina pectoris［J］.J Eval Clin Pract, 2013 (01):139-147.

Suh Y,Ko YG,Lee SH,etal. Crushed stent with acute occlusion in superficial femoral artery after enhanced external counterpulsation［J］.JACC Cardiovasc Interv,2014(10).

潘萌,张新霞.体外反搏在心脏康复中的应用进展[J].中国心血管杂志,2016(06):158-161.

DOI: http://dx.doi.org/10.26549/yzlcyxzz.v3i3.3947