高位胸段硬膜外交感神经阻滞治疗心血管疾病的进展  

Advances in the Treatment of Cardiovascular Disease by High Thoracic Epidural Sympathetic Blockade

作　　者：郭伟岩[1] 韩红强[1] 张翠丽[1] 富路[1] 

机构地区：[1]哈尔滨医科大学附属第一医院心内科,哈尔滨150001

出　　处：《医学综述》2012年第18期3056-3059,共4页Medical Recapitulate

摘　　要：现代心血管疾病的治疗取得了重大进展,特别是药物治疗和介入技术的发展极大地提高了患者的预后,然而仍有很多患者在应用常规治疗后的症状不能明显缓解。高位胸段硬膜外交感神经阻滞通过抑制过度激活的心脏交感神经,抑制心室重构,改善心力衰竭患者的心脏功能;同时降低心率和心脏后负荷,减少心肌耗氧,对心血管疾病的治疗具有独特的意义。现就近年来关于高位胸段硬膜外交感神经阻滞治疗心血管疾病的进展予以综述。Great progresses especially in drug therapy and intervention techniques have been made in the mordent treatment of cardiovascular disease which helps to improve the patients′ prognosis.However,some symptoms could not be relieved by routine therapy in many patients.High thoracic epidural sympathetic blockade could improve cardiac function by inhibiting the overactive sympathetic nerve and the remodeling of the heart.Meanwhile it reduces the heart rate and the afterload,reduces oxygenic consumption,which plays a special role in cardiovascular disease treatment.Here is to make a review on the advances in the treatment of cardiovascular disease by high thoracic epidural sympathetic blockade.

关 键 词：高位胸段硬膜外交感神经阻滞 冠心病 心力衰竭 

分 类 号：R541[医药卫生—心血管疾病]