胸段硬膜外阻滞对冠心病病人治疗效果的观察
被引量:1
摘要
动物实验表明胸段硬膜外阻滞(TEA)可缓解心肌缺血[1,2],TEA有助于体外循环术后病人呼吸、循环功能的稳定[3].但TEA治疗冠心病的效果如何尚未定论.本研究拟观察冠心病病人TEA前后心肌灌注显像及左室射血分数(LVEF)的变化,探讨其对冠心病病人的疗效.
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2005年第4期304-305,共2页
Chinese Journal of Anesthesiology
参考文献8
-
1陈志扬,薛张纲,蒋豪.全麻复合胸段硬膜外阻滞对兔实验性心肌梗死的影响[J].中华麻醉学杂志,2000,20(10):618-620. 被引量:25
-
2李胜亭,刘秀杰,陆宗良,史蓉芳,杨跃进,郭秀珍,吴清文,陈文琦,刘蕴忠.硝酸异山梨酯介入^(99m)Tc-MIBI心肌断层显像在心肌存活判定中的价值[J].中华核医学杂志,1995,15(1):6-8. 被引量:43
-
3Davis RF, Deboer LW, Maroko PR, et al. Thoracic epidural anesthesiareduces myocardial infarct site after coronary artery occlusion in dogs.Anesth Analg, 1986,65: 711.
-
4Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology, 1987,66: 729.
-
5Blomberg S. Long-term home self-treatment with high thoracic epidural anesthesia in patients with sever coronary artery disease . Anesth Analg,1994,79:413.
-
6Ggrobin L, Zvara D, Deal DD. Thoracic epidural anesthesia reduces infarct size in a canine model of myocardial ischemia and reperfusion injury. J Cardiaothorac Vasc Anesth, 1991,13: 579.
-
7Tsuchida H, Omote T, Miyamoto M,et al. Effect of thoracic epidural anesthesia on myocardial pH and metabolism during ischemia .Acta Anaesthesiol Scand, 1991,35:508.
-
8Olausson K, Magnusdottir H, Lurje L, et al. Anti-ischemic and antiangina effect of thoracic epidural anesthesia versus those of conventional medical therapy in the treatment of severe refractory unstable angina pectoris. Circulation, 1997,96: 2178.
二级参考文献12
-
1刘秀杰,Proceedings of the World Chin Conference of Nuclear Medicine,1993年
-
2He Z X,J Nucl Med,1993年,34卷,1472页
-
3刘秀杰,Nucl Med Commun,1992年,13卷,776页
-
4刘秀杰,中华核医学杂志,1989年,9卷,12页
-
5Smiley RM,Pantuck CB,Joseph J,et al.Alterations of the adrenergic receptor system after thoracic and abdominal surgery[].Anesthesia and Analgesia.1994
-
6Kelm M,Schrader J.Control of coronary vascular tone by nitric oxide[].Circulation Research.1990
-
7Bios S,Couture P,Boudreault D.Epidural analgesia and intravenous patient-controlled analgesia result in similar rates of postoperative myocardial ischemia after aortic surgery[].Anesthesia and Analgesia.1997
-
8Abboud TK,Kim KC,Noueihed R.Epidural bupivicaine chloroprocaine or lidociane for cesarean section : maternal and neonatal effect[].Anesthesia and Analgesia.1983
-
9Fujita S,Tsuchida H,Kanaya N,et al.Effects of thoracic epidural anesthesia on changes in ischemic myocardial metabolism induced by in intracoronary injection of endothelin in dogs[].Journal of Cardiothoracic and Vascular Anesthesia.1996
-
10Gerald A,Klassen R,Bramwell S,et al.Effect of acutesympathectomy by epidural anesthesia on the canine coronary circulation[].Anesthesiology.1980
共引文献66
-
1林剑清,陈国忠,刘韧,吴晓智,江鹤群,吴坛光.上胸段硬膜外阻滞对兔基底动脉痉挛后内皮素-1和内皮型一氧化氮合酶基因表达的影响[J].实用医学杂志,2009,25(5):705-707. 被引量:2
-
2薛铮.急性心肌梗塞早期静脉溶栓治疗对左室结构及功能的影响[J].山西职工医学院学报,1999,9(4):12-14.
-
3林伟,魏学立,邬恒夫,叶广春,欧阳智.心肌灌注显像与门电路心血池显像对心肌梗塞病人心功能的评价[J].广州医学院学报,1996,0(5):1-2.
-
4倪少滨,焦治兴,陈起引,李东启,王化民,曲仁海.心脏保护在前列腺增生症合并冠心病病人围手术期的应用[J].哈尔滨医科大学学报,2004,38(3):286-287. 被引量:1
-
5刘保军,何丽荣,李娟.静滴硝酸甘油介入^(99)Tc^m-MIBI心肌显像对存活心肌的评价[J].宁夏医学院学报,2004,26(4):249-250. 被引量:1
-
6许先成,向勇,张文君,张军,刘菊英.异丙酚对犬实验性心肌梗死左心功能的影响[J].郧阳医学院学报,2003,22(5):269-271.
-
7马萍,徐清斌,贾绍斌,刘晓方,李娟,仇玉民,赵淑清.静脉溶栓治疗对急性心肌梗死 梗死部位存活心肌的影响[J].宁夏医学杂志,2004,26(11):688-690.
-
8伏修建.核素心肌断层显像对心肌梗塞的诊断价值[J].中国航天工业医药,1999,1(2):60-60.
-
9罗海明,戴瑞鸿,王受益,林祥通,管一晖,金少津,刘永昌.麝香保心丸改善心肌缺血作用的核心脏影像学研究[J].上海医药,1995(11):26-28. 被引量:13
-
10杨维英,赵兴胜,奇小平,梁戎.心电图运动试验与心肌灌注显像联合应用诊断冠心病的临床意义[J].内蒙古医学杂志,2005,37(9):817-819.
同被引文献4
-
1林玉霜,吴跃坤,陆志伟,邓继平,黄才耀,郑志强.冠心病病人非心脏手术围术期胸段硬膜外阻滞的效应[J].中华麻醉学杂志,2005,25(10):785-785. 被引量:20
-
2谢柏樟.麻醉手册.人民卫生出版社,1992:686.
-
3林水雄.胆道循环骤停17例分析[J].中华麻醉学杂志,1987,7(3):176-177.
-
4刘国斌.老年病人麻醉临床体会[J].黑龙江医学,2003,27(5):398-399. 被引量:2
-
1钱亚东,朱军.同位素心肌灌注显像对PTCA疗效的评价[J].江苏临床医学杂志,2000,4(5):423-423.
-
2杨玲,石佳.胸段硬膜外阻滞治疗冠心病前后的心肌灌注显像观察[J].山西医药杂志(上半月),2010,39(11):1055-1056.
-
3郭龙辉,赵根尚,张大新,冯德广,付春景.CO_2激光心肌血运重建术与药物治疗冠心病临床比较[J].中国医师进修杂志,2005,28(S1):160-161.
-
4钱亚东,朱军.同位素心肌灌注显像对PTCA疗效的评价[J].实用心脑肺血管病杂志,1998,6(1):18-19.
-
5谢新立,卢长青,程兵,韩星敏,刘保平,孟玉葆,武新宇.^(99)Tc^m-MIBI显像评价心肌梗死患者骨髓干细胞移植疗效[J].中华核医学杂志,2007,27(3):184-184. 被引量:2
-
6周振虎,贾晓春.心肌灌注显像在冠心病诊断中的应用[J].山东医药,2001,41(12):55-56. 被引量:1
-
7刘向儒,黄国金,谭小军,何建文,陈小亮.低分子肝素预防经皮腔内冠状动脉成形术后急性闭塞临床分析[J].中国综合临床,2000,16(11):861-862. 被引量:1
-
8胡正清,余枢,米世簪,马业新,吴华,曾和松,郭小梅.单光子发射型计算机断层心肌灌注显像对经皮冠状动脉腔内成形术的近期疗效评估[J].中国循环杂志,1997,12(3):198-200. 被引量:4
-
9王正忠,宋文宣,郭新贵.^(99m)Tc-MIBI心肌灌注显像在冠脉再通术中的应用价值[J].临床荟萃,2000,15(13):621-622.
-
10胡正清,余枢,米世簪,马业新,吴华,曾和松,郭小梅.单光子发射型计算机断层心肌灌注显像对PTCA的疗效评估[J].临床心血管病杂志,1997,13(5):299-302. 被引量:1