经穴连续增强型体外反搏对老年心力衰竭患者心功能的影响

The effects of continuous enhanced external counterpulsation on the heart function of elderly patients with heart failure

目的:观察经穴连续增强型体外反搏对老年心力衰竭患者心功能的影响。方法:72例老年心力衰竭患者,随机分为观察组和对照组各36例,两组均给予β受体阻滞剂和(或)强心、血管紧张素转化酶抑制剂(ACEI)、利尿剂、改善心肌能量代谢等常规治疗,观察组在常规治疗的基础上加经穴连续增强型体外反搏。疗程2周。结果:两组患者的心功能分级、6 min步行试验、氨基末端脑钠肽前体(N-terminal pro-brain Natriuretic Peptide,NT-proBNP)、中医证候均明显改善,观察组疗效优于对照组,差异具有统计学意义(P<0.05)。结论:经穴连续增强型体外反搏明显改善老年心力衰竭患者的心功能,疗效显著。

Objective:To observe the effects of continuous enhanced external counterpulsation on heart function in elderly patients with heart failure.Methods:72 cases were randomly divided into the observation group and the control group,36 cases in each group.The groups were given routine treatment such asβreceptor blocker,and/or cardiotonic plan,ACEI,diuretic,improving myocardial energy metabolism,etc.The observation group was given routine treatment plus continuous enhanced external counterpulsation.The course of treatment was 2 weeks.Results:The cardiac function classification,6-minute walk test,NT-proBNP and TCM Syndromes in the groups were significantly ameliorated;the curative effect in the observation group was better than the control group(P<0.05).Conclusion:Continuous enhanced external counterpulsation can significantly improve the heart function of elderly patients with heart failure,shows obvious effects.