体外反搏对高血压性心脏病舒张功能的影响  

Effects of enhanced external counterpulsation in treatment of the hypertensive patients with diastolic heart failure

作　　者：彭志坚[1] 蔡建生[1] 林炳钦 李继锋[1] 章少波[1] 

机构地区：[1]汕头市第二人民医院心内科,广东省汕头515011

出　　处：《中国基层医药》2008年第12期1954-1955,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨体外反搏对高血压性心脏病舒张功能的影响。方法随机将104例高血压性心脏病患者分为两组，其中52例在常规药物治疗基础上加用体外反搏治疗为反搏组，52例应用常规药物治疗为对照组，治疗前后进行彩色多普勒超声检测。结果治疗后，左心室等容舒张时间（IVRT），左房室瓣舒张早期充盈E峰速率（E），左房室瓣舒张晚期充盈A峰速率（A），E峰速率／A峰速率（E／A），E峰减速时间（DT）等左室舒张功能指标明显改善（P〈0．01）。左室心肌重量指数（LVMI）明显降低（P〈0．01）。反搏组各项左室舒张功能指标改善优于对照组（P〈0．05）。结论体外反搏治疗可显著改善高血压性心脏病左心室舒张功能并可使左室重构发生逆转。Objective To study the effects of enhanced external counterpulsation （EECP） on the diastolic heart failure in hypertensive patients. Methods 104 hypertensive patients with diastolic heart failure were randomly divided into treatment group and control group,52 patients were given 36 hours of treatment EECP. After 6 months, Doppler ultrasound recordings were obtained from all patients to determine the left ventricular diastolic function. Re- suits Left ventricular diastolic function index and the left ventricle mass weight index（LVMI） were improved after treatment in both groups （ P 〈 0.01 ）, and EECP treated group was better than control group （ P 〈 0. 05 ）. Conclusion For hypertensive patients with diastolic heart failure, EECP could not only improve heart diastolic function, but also reverse reconstruction of the left ventricular.

关 键 词：体外反搏 高血压 左室重构 心力衰竭 舒张性 

分 类 号：R541[医药卫生—心血管疾病]