现代康复2001，Vol.5Issue(21)：148-149,2.
心区交感神经阻滞对扩张型心肌病心功能改善的机制探讨
Mechanism exploration on effects of cardiac sympathetic anesthesia on cardiac performance of dilated cardiomyopathy
刘凤歧 1修春红 1池洪杰 1李竹琴 1孙萍2
作者信息
- 1. The First Affiliated Hospital of Harbin Medical University,
- 2. Fifth Hospital of Heilongjiang Province,
- 折叠
摘要
Abstract
Objective To explore the mechanism of effects of cardiac sympathetic anesthesia on left ventricular ejection fraction(LVEF) and left cardiac cavity size of patients with dilated cardiomyopathy.Method 121 consecutive patients with dilated cardiomyopathy were divided into cardiac sympathetic nerve blockade group(TEA group) and control group(c group).In TEA group,5％ lidocaine was injected into thoracic epidural cavity for about 4 to 8 weeks in addition with routine therapy.In c group,only routine therapy was used.We observe the changes of LVEF and left cardiac cavity size before and after treatment in both groups. Result In TEA group,after anesthesia,LVEF was increased from(31.3± 12.8) to(47.3± 21.3),P<0.001;left ventricular end－ diastolic diameter was reduced from(69.1± 7.1)to (65.1± 8.0),P<0.001;left atrial diameter was decreased from(44.0± 6.2)to(39.4± 7.2),P< 0.001. Conclusion Cardiac sympathetic anesthesia can effectively improve the ejection performance of dilated cardiomyopathy and make the dilated cardiac cavity turn to normal level.分类
医药卫生引用本文复制引用
刘凤歧,修春红,池洪杰,李竹琴,孙萍..心区交感神经阻滞对扩张型心肌病心功能改善的机制探讨[J].现代康复,2001,5(21):148-149,2.
