增强型体外反搏治疗改善血流切应力的研究进展

摘要

Enhanced external counterpulsation is one of the method to treat coronary heart disease these days. Except the instant double pulsatile blood flow to relief the myocardial ischemia,the improvement of shear stress during the treatment is probably the main mech-anism to improve atherosclerosis. This review sums up the probable mechanisims of enhanced external counterpulsation on modifying shear stress and the advances of it to improve atherosclerosis.%增强型体外反搏是目前治疗冠状动脉性心脏病的方法之一,除了增强型体外反搏所造成的即时双脉动血流缓解心肌缺血之外,现研究表明治疗过程中出现的血流切应力升高是其持久改善动脉粥样硬化病变的主要机制,现总结增强型体外反搏提升血流切应力的可能机制及其进一步改善动脉粥样硬化的相关研究进展.