【摘要】 目的 观察扩张性心肌病(dilated cardiomyopathy, DCM)病人采用心脏硬膜外阻滞(hight thoracic epidural anesthesia ，HTEA)治疗与常规治疗，症状改善情况、心脏体积缩小及心功能的变化。方法 选择40例扩张性心肌病病人均分为HTEA组(n=20)及常规治疗组(n=20)组，观察治疗前后心胸比变化情况及心功能的改善。结果 治疗后，扩张性心肌病病人心胸比缩小、心脏舒缩功能改善，HTEA组明显优于常规治疗组(P<0.05)。结论 HTEA治疗对扩张性心肌病病人心脏体积及心脏舒缩功能的改善明显优于常规治疗。

    【关键词】 硬膜外阻滞；扩张性心肌病；心胸比；心功能

    Effect of hight thoracic epidural anesthesia on dilated cardiomyopathy

    WANG Jian-min，CHEN Meng，LIU Yong-liang, et al.

    Department of Anesthesiology, The Affiliated Hospital of mudanjiang Medical College, Mudanjiang 157011,China

    【Abstract】 Objective To observe the effect of hight thoracic epidural anesthesia (HTEA) on symptoms, cadiac function in patients with dilated cardiomyopathy.Methods Forty patients with dilated cardiomyopathy were randomly divided into HTEA group (n=20) and routine treatment group (RT group, n=20). The cardiac function was observed pre-and post-HTEA.Results There was more improvement of the pain, cadiac function in HTEA group than that in RT group after treatment(P<0.05) .Conclusion HTEA is superior to routine treatment in dilated cardiomyopathy. ......