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目的 探讨增强型体外反搏(EECP)联合远端缺血预适应(RIPC)对冠心病患者的治疗意义。方法 选取2019年1月至2021年12月期间就诊于杭州市第三人民医院心内科的80例患者,随机将入选者分为对照组、RIPC治疗组、EECP治疗组、RIPC+EECP联合治疗组,每组20例。比较治疗前、治疗36天后进行心绞痛症状评分及心肺运动试验结果。结果 与治疗前相比,EECP组可以明显改善心肺运动试验时的峰值摄氧量、峰值代谢当量、无氧阈摄氧量、无氧阈代谢当量,并具有统计学差异(P
<
0.05);联合治疗组可以明显改善心肺运动试验时的峰值摄氧量、峰值代谢当量,改善心肺运动试验时VE/VCO
2
slop,并具有统计学差异(P
<
0.05);RIPC组、EECP组及联合治疗组的心绞痛症状均有明显改善,西雅图心绞痛量表评定有统计学差异(P
<
0.05)
RIPC组、EECP组及联合治疗组联合治疗组可以明显心肺运动试验时的峰值摄氧量、峰值代谢当量、无氧阈摄氧量、无氧阈代谢当量,改善心肺运动试验时VE/VCO
2
slop,并具有统计学差异(P
<
0.05),联合治疗组优于RIPC组及EECP组,并具有统计学差异(P
<
0.05)。结论 联合RIPC及EECP治疗可以明显改善冠心病患者的运动能力以及生活质量。RIPC及EECP,二者具有协同作用,联合应用,得到了更好的治疗效果。
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