增强型体外反搏对老年患者多系统疾病的综合改善一例并文献复习

Comprehensive improvement of multi-system diseases in elderly patients treated with enhanced external counterpulsation: One case report and literature review

目的探讨增强型体外反搏(enhanced external counterpulsation,EECP)对老年患者多系统疾病的综合改善作用。方法分析收治的1例老年多系统疾病患者的临床资料,随访、评估EECP的治疗效果并复习相关文献。结果62岁男性患者诊断为冠状动脉粥样硬化性心脏病不稳定型心绞痛、陈旧性心肌梗死、心功能Ⅱ级(NYHA分级);高血压(3级,很高危);2型糖尿病;脑梗死恢复期;前列腺增生。EECP两疗程治疗后,患者心绞痛症状缓解,心脏收缩和舒张功能均改善,活动耐力增加,治疗药物减少。同时,该患者血压和血糖水平较前下降,双眼视网膜血流信号较前增强,夜尿次数和夜尿量均减少,左侧肢体麻木症状得到改善。结论EECP治疗在该老年患者的多系统疾病中均表现出改善作用,该技术安全、有效、简便易行,在老年病科具有广泛的应用前景。

Objective To investigate the comprehensive improvement of multi-system diseases in elderly patients treated with enhanced external counterpulsation(EECP). Methods Clinical data of an elderly patient with multiple systemic diseases were collected and analyzed.The therapeutic effect of EECP was assessed and EECP-related literatures were reviewed. Results The 62-year-old male patient was diagnosed with coronary atherosclerotic heart disease, unstable angina, New York Heart Association(NYHA)functional class Ⅱ, hypertension(grade 3, very high risk), type 2 diabetes, acute cerebral infarction(recovery period)and benign prostatic hyperplasia.After two courses of EECP treatment, angina in the patient was significantly relieved, cardiac systolic and diastolic function was improved, activity tolerance was increased and the corresponding dosage of therapeutic drugs was reduced.In addition, the patient's blood pressure and blood glucose levels were decreased after versus before treatment and the retinal superficial blood flow was enhanced in both eyes assessed by optical coherence tomography.The frequency and volume of nocturia were reduced.The symptoms of numbness on the left side were improved. Conclusions EECP treatment has shown significant therapeutic effects on multi-system diseases in the elderly patient.EECP is safe, effective and simple and has a broad application prospect in geriatrics.