增强型体外反搏在社区冠心病患者中的临床疗效观察  

Clinical efficacy of enhanced external counterpulsation on community patients with coronary heart disease

作　　者：张亮 王彩燕 陈茜薇 朱莉 姚义景 陶海琦 陈晨 ZHANG Liang;WANG Cai-yan;CHEN Qian-wei;ZHU Li;YAO Yi-jing;TAO Hai-qi;CHEN Chen(Department of Cardiology,Huadong Hospital Affiliated to Fudan University;Department of General Medicine,Jiangning Road Street Community Health Service Center,Jing'an District,Shanghai 200040;Department of Nursing,Jiangning Road Street Community Health Service Center,Jing'an District,Shanghai 200040;Department of General Medicine,Miaohang Town Community Health Service Centre,Baoshan District,Shanghai 200443,China)

机构地区：[1]复旦大学附属华东医院心内科 [2]上海市静安区江宁路街道社区卫生服务中心全科医学,上海200040 [3]上海市静安区江宁路街道社区卫生服务中心护理部,上海200040 [4]上海市宝山区庙行镇社区卫生服务中心全科医学,上海200443

出　　处：《川北医学院学报》2025年第4期454-458,共5页Journal of North Sichuan Medical College

基　　金：上海市卫生健康委员会科研课题(202040082);上海市静安区卫生科研课题(2023SQ02)。

摘　　要：目的:观察增强型体外反搏(EECP)在社区冠心病患者中的临床疗效。方法:选取经上级医院治疗后转诊回社区行康复治疗的80名患者作为研究对象,按照康复方式不同将患者分为对照组和治疗组,每组各40例。对照组予以药物结合常规康复运动治疗干预;治疗组在对照组基础上予以EECP康复治疗。比较治疗前后两组患者心脏储备指标、肺脏储备指标及运动耐力指标水平差异,并比较治疗前、治疗1、2、3个月后两组患者生活质量(MLHFQ评分)和睡眠质量(PSQI评分)差异。结果:治疗后,两组患者各心肺储备指标、运动耐力指标水平均较治疗前显著改善(P<0.05),且治疗组左室射血分数(LVEF)、每搏量(SV)、各项肺部储备指标和运动耐力指标水平均较对照组改善更明显(P<0.05);治疗1、2、3个月后,两组患者MLHFQ和PSQI评分均降低(P<0.05),且治疗组各时间点评分均低于对照组(P<0.05)。结论:EECP可有效改善社区冠心病患者心肺功能和运动耐力,提高生活质量和睡眠质量,值得推广应用。Objective:To observe the clinical efficacy of enhanced external counterpulsation(EECP)on community patients with coronary heart disease.Methods:80 patients who were referred back to the community for rehabilitation treatment after treatment in the superior hospital were selected to participate in the study,and were divided into control group and treatment group according to different rehabilitation methods,with 40 cases in each group.The control group was given drug combined with routine rehabilitation exercise therapy,while the treatment group was treated with EECP rehabilitation therapy on this basis.The differences in cardiac reserve indexes,pulmonary reserve indexes and exercise tolerance indexes before and after treatment and differences in quality of life(MLHFQ score)and sleep quality(PSQI score)before treatment and after 1,2 and 3 months of treatment were compared between the two groups.Results:After treatment,the levels of cardiopulmonary reserve indexes and exercise tolerance indexes in both groups were significantly improved compared with those before treatment(P<0.05),and the left ventricular ejection fraction(LVEF),stroke volume(SV),pulmonary reserve indexes and exercise tolerance indexes in treatment group improved more significantly compared to control group(P<0.05).After 1,2,and 3 months of treatment,the MLHFQ score and PSQI score were decreased in both groups of patients(P<0.05),and the scores in treatment group at each time point were lower than those in control group(P<0.05).Conclusion:EECP can effectively improve the cardiopulmonary function and exercise tolerance,enhance the quality of life and sleep quality in community patients with coronary heart disease,and is worthy of promotion and application.

关 键 词：EECP 冠心病 临床疗效 心肺功能 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]