国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2014年
4期
360-362,373
,共4页
脊髓电刺激%顽固性心绞痛%安慰剂效应%硝酸甘油用量%心肌缺血
脊髓電刺激%頑固性心絞痛%安慰劑效應%硝痠甘油用量%心肌缺血
척수전자격%완고성심교통%안위제효응%초산감유용량%심기결혈
Spinal cord electrical stimulation%Refractory angina pectoris%Placebo effect%Nitroglycerin dosage%Myocardial ischemia
背景 顽固性心绞痛(refractory angina pectoris,RAP)发病率逐年增多,临床上多种治疗方法效果不理想,脊髓电刺激(spinal cord stimulation,SCS)治疗RAP报道较多,并取得较显著疗效. 目的 综述SCS治疗RAP的临床应用现状,以增加对该技术的认识和理解,促进其临床应用. 内容 叙述SCS用于治疗RAP的发展简史、电极植入及刺激方法,介绍其可能的治疗机制、适应证和禁忌证,对其存在争议进行客观论述分析. 趋向 SCS用于治疗RAP是一种安全有效的辅助疗法,应进行大样本研究探讨其机制,使其更安全并进一步规范化,更适合临床应用.
揹景 頑固性心絞痛(refractory angina pectoris,RAP)髮病率逐年增多,臨床上多種治療方法效果不理想,脊髓電刺激(spinal cord stimulation,SCS)治療RAP報道較多,併取得較顯著療效. 目的 綜述SCS治療RAP的臨床應用現狀,以增加對該技術的認識和理解,促進其臨床應用. 內容 敘述SCS用于治療RAP的髮展簡史、電極植入及刺激方法,介紹其可能的治療機製、適應證和禁忌證,對其存在爭議進行客觀論述分析. 趨嚮 SCS用于治療RAP是一種安全有效的輔助療法,應進行大樣本研究探討其機製,使其更安全併進一步規範化,更適閤臨床應用.
배경 완고성심교통(refractory angina pectoris,RAP)발병솔축년증다,림상상다충치료방법효과불이상,척수전자격(spinal cord stimulation,SCS)치료RAP보도교다,병취득교현저료효. 목적 종술SCS치료RAP적림상응용현상,이증가대해기술적인식화리해,촉진기림상응용. 내용 서술SCS용우치료RAP적발전간사、전겁식입급자격방법,개소기가능적치료궤제、괄응증화금기증,대기존재쟁의진행객관논술분석. 추향 SCS용우치료RAP시일충안전유효적보조요법,응진행대양본연구탐토기궤제,사기경안전병진일보규범화,경괄합림상응용.
Background The incidence of patients with refractory angina pectoris(RAP) has increased,but various clinical treatment effect is not ideal,spinal cord electrical stimulation (SCS) in the treatment of RAP more reports and achieved remarkable curative effect.Objective To review the status of clinical application of SCS in the treatment of RAP in order to increase the awareness and understanding of the technology,promote its clinical application.Content To narrate the brief history of the development about the SCS for the treatment of RAP,electrode implantation and stimulation methods,introduce its possible therapeutic mechanism,indications and contraindications,objectively discusses analysis of the existing dispute.Trend SCS in the treatment of RAP is a safe and effective method,should be a large sample study to investigate its mechanism,make it safer and more suitable for clinical application.
