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增强型体外反搏在高血压患者中的应用及进展
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Abstract:
我国人群高血压的患病率仍呈升高趋势。血压水平与心脑血管病发病和死亡风险之间存在密切的因果关系。目前可以选择的治疗方案主要有生活方式干预、药物治疗及相关危险因素的处理。增强型体外反搏(EECP)作为一种无创的机械辅助循环装置,现广泛应用于心脑血管病以及各种不同病因所致的循环障碍。现有文献证实EECP对高血压患者疗效显著,本文就EECP治疗高血压的临床进展进行综述。
The prevalence of hypertension in China is still increasing. There is a close causal relationship between blood pressure levels and the risk of cardiovascular and cerebrovascular disease morbidity and mortality. At present, the main treatment options are lifestyle intervention, drug therapy, and management of related risk factors. As a non-invasive mechanically assisted circulatory device, enhanced external counterpulsation (EECP) is widely used in cardiovascular and cerebrovascular diseases and circulatory disorders caused by various etiologies. The existing literature confirms that EECP has significant efficacy in patients with hypertension, and this article reviews the clinical progress of EECP in the treatment of hypertension.
[1] | Caceres, J., Atal, P., Arora, R. and Yee, D. (2021) Enhanced External Counterpulsation: A Unique Treatment for the “No-Option” Refractory Angina Patient. Clinical Pharmacology & Therapeutics, 46, 295-303. https://doi.org/10.1111/jcpt.13330 |
[2] | 霍銮锵, 于夫, 黄明智, 等. 体外反搏与康复医学[J]. 中国康复, 1986(1): 39-43. |
[3] | Sardari, A., Hosseini, S.K., Bozorgi, A., et al. (2018) Effects of Enhanced External Counterpulsation on Heart Rate Recovery in Patients with Coronary Artery Disease. The Journal of Tehran University Heart Center, 13, 13-17. |
[4] | 邹毓斌, 于夫. 体外反搏治疗原发性高血压156例临床观察[J]. 南通大学学报(医学版), 1987(2): 21-23+94. |
[5] | 王翔. 体外反搏辅助治疗原发性高血压的探索分析[J]. 今日健康, 2016, 15(1): 130. |
[6] | Suresh, K., Simandl, S., Lawson, W.E., et al. (1998) Maximizing the Hemodynamic Benefit of Enhanced External Counterpulsation. Clinical Cardiology, 21, 649-653. https://doi.org/10.1002/clc.4960210908 |
[7] | 吴锦旭. 增强型体外反搏治疗高血压早期肾损害疗效及作用机制[D]: [硕士学位论文]. 广州: 南方医科大学, 2020. |
[8] | 杨海燕, 丁宇, 王灿. 增强型体外反搏对老年原发性高血压伴静息心率增快患者RAAS系统因子等的影响[J]. 广东医学, 2024, 45(2): 200-206. |
[9] | Subramanian, R., Nayar, S., Meyyappan, C., et al. (2016) Effect of Enhanced External Counterpulsation Treatment on Aortic Blood Pressure, Arterial Stiffness and Ejection Fraction in Patients with Coronary Artery Disease. Journal of Clinical and Diagnostic Research, 10, 30-34. https://doi.org/10.7860/JCDR/2016/23122.8743 |
[10] | 王秋艳, 黄金林, 侯海生, 等. ECP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, 26(6): 673-675. |
[11] | 滕钒. 动态血压监测观察体外反搏对血压的影响[J]. 中外医疗, 2018, 37(17): 43-45. |
[12] | 刘爽, 卢江曼, 张刚, 等. 增强型体外反搏联合硝苯地平控释片治疗老年单纯收缩期高血压的效果[J]. 河北医药, 2024, 46(12): 1834-1837. |
[13] | 杨海燕, 刘爽, 卢江曼. 增强型体外反搏治疗静息心率增快的老年高血压临床效果观察[J]. 山东医药, 2023, 63(23): 50-54. |
[14] | 王红宇, 邸捷, 崔冬霞, 等. 自助心电监测高血压患者体外反搏康复治疗效果[J]. 实用心电学杂志, 2016, 25(2): 77-79. |
[15] | 严泽羽. 增强型体外反搏对高血压合并动脉僵硬度增高患者的疗效及作用机制[D]: [硕士学位论文]. 广州: 南方医科大学, 2021. |
[16] | 邹振宇, 黄莉珊. 增强型体外反搏对高血压伴失眠患者的疗效分析[J]. 深圳中西医结合杂志, 2019, 29(6): 174-175. |
[17] | 中华医学会老年医学分会心血管病学组, 《中华老年医学杂志》编辑委员会, 中国生物医学工程学会体外反搏分会老年学组. 老年人体外反搏临床应用中国专家共识(2019) [J]. 中华老年医学杂志, 2019, 38(9): 953-961. |