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| 交感神经阻滞对糖尿病心腔扩张顽固心衰的疗效 | |
| 引用本文： | 王孝微,刘凤岐,王桂珍,曲仁海,傅世英.交感神经阻滞对糖尿病心腔扩张顽固心衰的疗效[J].现代生物医学进展,2010,10(1). |
| 作者姓名： | 王孝微 刘凤岐 王桂珍 曲仁海 傅世英 |
| 作者单位： | 1. 哈尔滨医科大学附属第一医院心血管内科,黑龙江,哈尔滨,150001 2. 黑龙江省第五医院心内科,黑龙江,哈尔滨,150000 3. 哈尔滨医科大学附属第一医院麻醉科,黑龙江,哈尔滨,150001 |
| 基金项目： | 黑龙江省卫生厅医学科学研究项目(2005-144) |
| 摘 要： | 目的:探讨交感神经阻滞对有糖尿病、心腔扩张的顽固心衰患者心脏收缩功能和心腔大小的影响。方法:经胸3～胸4棘突间隙穿刺至硬膜外腔,留置硬膜外导管,0.5%利多卡因3～5ml每2h推注一次,持续4w,适当辅以常规治疗。测定并比较TEB治疗前及后4w射血分数(EF)、左室内径(LVED)和左房内径(LAED)等指标的变化。结果:治疗后左室射血分数(EF)由治疗前的(31.53±9.29)%升为(44.75±8.32)%(P0.05);左室内径(LVED)由治疗前的(70.59±6.25)mm缩减到(63.59±7.05)mm(P0.05);左房内径(LAED)由治疗前的(46.16±7.19)mm缩减到(39.05±7.23)mm(P0.05)。结论:心区交感神经阻滞结合常规用药对有糖尿病、心腔扩张的顽固心衰患者的心脏功能有明显改善作用,并使其扩大的心脏明显缩小。 |
| 关 键 词： | 糖尿病 交感神经阻滞 心肌病 扩张型 心力衰竭 |
The Effect of Thoracic Epidural Blockade on Refractory Heart Failure in Patients with Diabetes Mellitus and Cardiomegaly |
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| WANG Xiao-wei,LIU Feng-qi,WANG Gui-zhen,QU Ren-hai,FU Shi-ying.The Effect of Thoracic Epidural Blockade on Refractory Heart Failure in Patients with Diabetes Mellitus and Cardiomegaly[J].Progress in Modern Biomedicine,2010,10(1). | |
| Authors: | WANG Xiao-wei LIU Feng-qi WANG Gui-zhen QU Ren-hai FU Shi-ying |
| Institution: | WANG Xiao-wei1,LIU Feng-qi1,WANG Gui-zhen3,QU Ren-hai2,FU Shi-ying1(1 Department of Cardiology,First Clinical Medical College,Harbin Medical University,Harbin 150001,Heilongjiang Province,China,2 Department of Cardiology,Fifth Hospital of Heilongjiang Province,Harbin 150000,3 Department of Anesthesiology,China) |
| Abstract: | Objective:To investigate the impact of thoracic epidural blockade(TEB) on cardiac performance and cavities of patients with refractory heart failure(RHF) by diabetes mellitus and cardiomegaly.Methods:The patients with RHF by diabetes mellitus and cardiomegaly were selected as subjects.All patients received continuous TEB by intermittent injection of 0.5% lidocaine for about 4 weeks in addition with routine therapy.Cardiac systolic performance and cavities were measured and compared before and four weeks aft... |
| Keywords: | Diabetes mellitus Thoracic epidural blockade Cardiomyopathy Dilated Heart failure |
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