增强型体外反搏治疗可改善慢性心力衰竭患者的认知功能。
Treatment with enhanced external counterpulsation improves cognitive functions in chronic heart failure patients.
作者信息
Kozdağ Güliz, Işeri Pervin, Gökçe Gökçen, Ertaş Gökhan, Aygün Fatih, Kutlu Ayşe, Hebert Kathy, Ural Dilek
机构信息
Department of Cardiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
出版信息
Turk Kardiyol Dern Ars. 2013 Jul;41(5):418-28. doi: 10.5543/tkda.2013.24366.
OBJECTIVES
Chronic heart failure (CHF) has been associated with an increased risk of poorer cognitive performance in older adults. Reversibility of cognitive impairment after medical treatment has been reported, although the restorative effects of enhanced external counterpulsation (EECP) on cognitive performance have not been studied. We investigated the effect of EECP on cognitive functions in CHF patients.
STUDY DESIGN
Thirty-six individuals (mean age: 66±8 years) who were diagnosed with CHF and were New York Heart Association (NYHA) Class II-III and Canadian Cardiovascular Society (CCS) Class II-III participated in this study. Neuropsychological assessment was performed in these patients.
RESULTS
Patients in the EECP treatment group showed a statistically significant improvement in spontaneous naming (p=0.011) and forward row score of the attention subset among domains of cognition (p=0.020) and interference time of executive function (p=0.012).
CONCLUSION
Enhanced external counter pulsation resulted in improvement in all domains of cognitive functions except verbal and visual memory tests.
目的
慢性心力衰竭（CHF）与老年人认知功能较差的风险增加有关。尽管尚未研究增强型体外反搏（EECP）对认知功能的恢复作用，但已有报道称药物治疗后认知障碍具有可逆性。我们研究了EECP对CHF患者认知功能的影响。
研究设计
36名被诊断为CHF且为纽约心脏协会（NYHA）II-III级和加拿大心血管学会（CCS）II-III级的个体（平均年龄：66±8岁）参与了本研究。对这些患者进行了神经心理学评估。
结果
EECP治疗组患者在自发命名方面有统计学意义的改善（p=0.011），在认知领域的注意力子集中的顺行得分（p=0.020）和执行功能的干扰时间方面有统计学意义的改善（p=0.012）。
结论
增强型体外反搏除了在言语和视觉记忆测试外，在所有认知功能领域均有改善。
Zotero 插件