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增强外部反推力,重点关注其对功能的影响,以及病患者的利用:系统性审查
Thana Thongsricome1, Weerapat Kositanurit1, Sarawut Siwamogsatham2
1Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Asian biomedicine : research, reviews and news
|October 30, 2023
概括
增强的外部反推力 (EECP) 在各种条件下改善功能和血液流动. 这种非侵入性治疗可以预防损伤,并通过改善血液动力学和心脏功能来使血液透析患者受益.
科学领域:
- 心血管生理学心血管生理学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 非侵入性疗法 不侵入性疗法
背景情况:
- 增强的外部反推力 (EECP) 是一种非侵入性疗法,已知可以通过透过腹增强和缩卸载来改善心血管功能.
- 对于EECP对功能的特定影响还没有被彻底研究.
研究的目的:
- 评估EECP对功能的影响.
- 为了确定EECP在患有先前存在的病的患者中的适用性.
主要方法:
- 在MEDLINE,EMBASE,SCOPUS和Cochrane CENTRAL数据库中对涉及EECP的研究进行了全面的文献搜索.
- 研究被选出与脏结果或包括患有脏疾病的患者相关性.
主要成果:
- 在健康人群中,EECP表现出积极的效果,增加了中风量,平均动脉压,脏血流,膜过率 (GFR) 和尿液输出,同时降低了宁和内甲蛋白-1.
- 一次EECP会话增强了放射性对比暴露后的对比清除,减少了对比诱导的损伤.
- 长期EECP治疗增加了慢性心痛和心力衰竭患者的估计GFR,但不是肝硬化患者.
- 在血液透析患者中,EECP有助于维持血压,减轻心痛,改善心脏输液.
结论:
- 在各种临床场景中,EECP疗法显示出增强 perfusion 和预防损伤的潜力.
- 该疗法可以为接受血液透析的患者提供显著的血液动力学和心脏益处.
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