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高位胸段硬膜外交感神经阻滞治疗心血管疾病的进展 被引量:3

Advances in the Treatment of Cardiovascular Disease by High Thoracic Epidural Sympathetic Blockade
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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.
出处 《医学综述》 2012年第18期3056-3059,共4页 Medical Recapitulate
关键词 高位胸段硬膜外交感神经阻滞 冠心病 心力衰竭 High thoracic epidural sympathetic blockade Coronary heart disease Heart failure
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参考文献21

  • 1连祺周,傅世英.治疗顽固性心绞痛的新方法:高位硬膜外阻滞[J].心血管病学进展,2000,21(4):197-201. 被引量:5
  • 2Vik-Mo H,Ottesen S,Renck H. Cardiac effects of thoracic epidural analgesia before and during acute coronary artery occlusion in opan- chest dogs[ J ]. Scand J Clin Lab Invest, 1978,38 (8) :737-746.
  • 3Blomberg S,Emanuelsson H, Kvist H, et al. Effects of thoracic epi- dural anesthesia on coronary arteries and arterioles in patients with coronary artery disease [ J ]. Anesthesiology, 1990,73 (5) : 840-847.
  • 4NygL,'d E, Kofoed KF, Freiberg J, et al. lffects of high thoracic epi- dural analgesia on myocardial blood flow in patients with ischemic heart disease[J]. Circulation,2005,111 (17) :2165-2170.
  • 5陈淅泠,金晓烨.高位硬膜外阻滞治疗对冠心病患者冠脉管径的影响[J].中国误诊学杂志,2005,5(9):1625-1626. 被引量:1
  • 6Ferrari R,Ceconi C, Curello S,et al. The neuroendocrine and sym- pathetic nervous system in congestive heart failur[ J ]. Eur Heart J, 1998,19 :F45-51.
  • 7Kim8 K,Friberg P,Grzegorczyk A,et al. Thoracic epidural anesthe- sia during coronary artery bypass surgery:effects on cardiac sympa- thetic activity, myocardial blood flow and metabolism, and central hemodynamics[ J]. Anesth Analg,1994,79(6) :1075-1081.
  • 8Sehmidt C,Hinder F,Van Aken H,et al. The effect of high thorac- ic epidural anesthesia on systolic and diastolic left ventricular func- tion in patients with coronary artery disease [ J ]. Anesth Analg, 2005,100(6) :1561-1569.
  • 9Kamibayashi T, Hayashi Y, Mammoto T, et al. Thoracic epidural anesthesia attenuates halothane-induced myocardial sensitization to dysrhythmogenic effect of epinephrine in dogs [ J ]. Anesthesiology, 1995,82( 1 ) :129-134.
  • 10池洪杰,刘凤岐.高位硬膜外阻滞对扩张型心肌病心律失常影响的初步研究[J].临床荟萃,2005,20(15):859-860. 被引量:4

二级参考文献31

  • 1修春红,刘凤岐,王怀泉,沈景霞,傅云薇,王旭.组织多普勒超声评价交感神经阻滞对扩张型心肌病左心室心肌收缩力的影响[J].中华超声影像学杂志,2005,14(5):338-341. 被引量:6
  • 2曲仁海,李志学,刘凤歧.上胸段硬膜外腔交感神经阻滞对冠心病病人围手术期心肌保护作用的临床观察[J].实用麻醉学杂志,1997,10(4):18-20.
  • 3Olausson K,Magnusdottir H,Wennerblom B,et al.Anti-ischemic and anti-anginal effects of thoracic epidural anesthesia versus those of conventional medical therapy in the treatment of severe refractory unstable angina pectoris[J].Circulation,1997,96(7):2178-2182.
  • 4Herlitz J,Richter A,Hjalmarsson A,et al.Chest pain in acute myocardial infarction:a descriptive study according to subjective assessment and morphine requirement[J].Clin Cardiol,1986,9(9):423-428.
  • 5Blomberg S,Emanuelsson H,Kvist H,et al.Effects of thoracic epidural anesthesia on coronary arteries and arterioles in patients with coronary artery disease[J].Anesthesiology,1990,73(5):840-847.
  • 6连祺周,Chin J Emergency Med,1999年,1卷,1页
  • 7连祺周,J Haerbin Med Univ,1998年,6卷,191页
  • 8KARIN O, HELGA M, LEON L, et al. Anti-ischemic and anti-anginal effects of thoracic epidural anesthesia versus those of conventional medical therapy in the treatment of severe refractory unstable angina pectoris[J]. Circulation, 1997,96(7):2178-2182.
  • 9HEINZ M, LOICK C S, HUGO V A, et al. High thoracic epidural anesthesia, but not clonidine, attenuates the perioperative stress response via sympatholysis and reduced the release of troponin T in patients undergoing coronary artery bypass grafting[J]. Anesth Analg,1999,88(4):701-709.
  • 10TSUCHIDA H, OMOTE T, MIYAMOTO M, et al. Effects of thoracic epidural anesthesia on myocardial pH and metabolism during ischemia[J]. Acta Anaesthesiol Scand, 1991,35(6):508-512.

共引文献25

同被引文献26

  • 1卢成志.2012欧洲高血压学会关于经导管去肾交感神经治疗顽固性高血压专家共识解读[J].中国医学前沿杂志(电子版),2012,4(6):49-52. 被引量:6
  • 2王旭,刘凤岐,修春红,吴双,孙萍,曲仁海.心区交感神经阻滞治疗急性心肌梗死支架置入术后重度心力衰竭的观察[J].临床麻醉学杂志,2007,23(1):20-21. 被引量:9
  • 3常玉林,卜建华,宋国洲.胸段硬膜外阻滞治疗围生期心力衰竭疗效观察[J].人民军医,2007,50(7):417-418. 被引量:2
  • 4Sarafidis PA,Bakris GL.Resistant hypertension:an overview of evaluation and treatment.J Am Coll Cardio1,2008,52:1749-1757.
  • 5Perkovic V,Huxley R.The burden of blood pressure-related disease:a neglected priority for global health.Hypertension,2007,50:991-997.
  • 6Perkovic V,Huxley R,Wu Y,et al.The burden of blood pressure-related disease:aneglected priority for global health.Hypertension,2007,50:991-997.
  • 7Schlaich MP,Sobotka PA,Krum H,et al.Renal denervation as a therapeutic approach for hypertension:novel implications for an old concept.Hypertension,2009,54:1195-1201.
  • 8MoserM,SetroJF.Clinicalpractice.Resistant or diffi cult-tocontrol hypertension.N Engl J Med,2006,355:385-392.
  • 9CalhounDA,JonesD,TextorS,etal.Resistant hypertension:diagnosis,evaluation,and treatment.A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research.Circulation,2008,117:e510-e526.
  • 10Sarafi dis PA,Bakris GL.Resistant hypertension:an overview of evaluation and treatment.J Am Coll Cardio1,2008,52:1749-1757.

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