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體外反搏改善靜脈曲張引起的浮腫和抽筋

EECP Improve Swelling and Cramps in Varicose Veins

Source From 資料來源 : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9366413/

 

EECP Improve Swelling and Cramps in Varicose Veins

BACKGROUND:

Venous diseases encompass a large spectrum of abnormalities in the venous system with complaints, such as aching and swelling. Enhanced external counterpulsation, proven safe and effective in patients with coronary artery disease and chronic heart failure, is a technique that increases venous return and augments diastolic blood pressure. This study assessed the effects of enhanced external counterpulsation on symptoms of venous disease using the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES) questionnaire.

METHODS:

This study was designed prospectively for evaluating venous symptoms before and after enhanced external counterpulsation treatment. The study population consisted of 30 consecutive patients who were admitted to the cardiology clinic. The Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms questionnaire was applied to assess venous symptoms one day before and after enhanced external counterpulsation treatment.

RESULTS:

The mean age of the patients was 64.62 ± 9.67 years. After 35 hours of enhanced external counterpulsation, 28 patients (93%) had at least 1 New York Heart Association functional class reduction compared with baseline and 43% of patients had 2 New York Heart Association functional classes improvement. The New York Heart Association class significantly decreased after enhanced external counterpulsation treatment (P<.001). There was a significant improvement in their swelling and night cramps symptoms compared with baseline (P< .001 and P = .05, respectively). Also, The left ventricular ejection fraction significantly increased after the enhanced external counterpulsation treatment (P = .02).

CONCLUSIONS:

The findings obtained in the present study suggested that patients treated with enhanced external counterpulsation showed a significant reduction in swelling and night cramps symptoms. Although the total VEINES score did not change after the enhanced external counterpulsation procedure, improvement in swelling and night cramps underlines the beneficial effects of enhanced external counterpulsation through the venousvascular territory.

 

體外反搏技術有效改善腿部腫脹及夜間腿部抽筋症狀

背景

靜脈 疾病包括多種 靜脈 系統異常,並伴有疼痛和腫脹等症狀。經證實,體外反搏對冠心病和慢性心力衰竭患者安全有效,是一種增加 靜脈 回流和舒張壓的技術。本研究使用「 靜脈 功能不全流行病學和經濟學研究–生活品質/症狀」問卷 (VEINES),評估體外反搏對 靜脈 疾病症狀的影響。

方法

本研究旨在評估體外反搏治療前後的 靜脈 症狀。研究對象包括 30 名入住心臟病診所的患者。我們以「 靜脈 功能不全流行病學和經濟學研究–生活品質/症狀」調查問卷來評估患者於接受體外反搏治療前後一天的 靜脈 症狀。

結果

患者的平均年齡為(64.62 ± 9.67)歲。接受體外反搏治療 35 小時後,28 名患者(93%)的紐約心臟協會功能分級與基線相比至少降低了 1 級,43% 的患者的紐約心臟協會功能分級降低了 2 級。接受體外反搏治療後,患者的紐約心臟協會功能分級明顯降低(P<.001)。與基線相比,患者的浮腫和夜間腿部抽筋症狀明顯改善(分別為 P< .001 和 P = .05)。此外,體外反搏治療後,左心室射血分數明顯增加(P = .02)。

結論

本研究結果表明,接受體外反搏治療的患者浮腫和夜間腿部抽筋症狀明顯減輕。雖然體外反搏治療後 VEINES 總分沒有變化,但腫脹和夜間抽筋症狀的改善表明體外反搏術對 靜脈 血管區域產生了有益影響。

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