【医学课件】新型体外反搏装置的现状

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,广州释康医疗科技有限公司,Guangzhou,Healthgiving,Med Corp,释康,Healthgiving,释康,致力于新型体外反搏装置的研发和生产的专业公司,H,ealthgiving Medical Corp.,specially devoting to the developing and manufacturing of the new-modal external,counterpulsation,(ECP) device,be the best provider of the device and the treatment solution.,释康,Healthgiving,Dr.Zhou(M.D,&Ph.D),释康技术带头人周少春博士，在对新型体外反搏装置的基础研究、临床应用和研发等方面做了大量工作。,Dr.Zhou(M.D,&Ph.D) is acting as the leader in devoting his mind at ECP basic researching ,clinical application and R&D of the ECP device,.,释康,Healthgiving,新型体外反搏装置的现状,The current situation of EECP,美国,:,多中心研究结果证实其治疗安全、有效,FDA,认可其治疗,美国老年保险（,MEDCARE,）,认同其治疗的费用支出,哈佛、耶鲁等著名大学的医学院等专业机构每年有几十篇文章在国际著名杂志发表，全美目前有,1000,多个治疗中心,America:,Must-Study: approved,FDA: approved,Medcare(old,peoples insurance): YES,Harvard & Yule university have the department of ECP treatment, a lot of researching papers in the circulation in America. Now therere over one thousand treatment center in the USA.,释康,Healthgiving,欧洲,Europe,欧洲：德国、法国、意大利、英国等均有治疗中心。,Europe:,Germany、France、Italy、Great Britain etc. have treating centers.,释康,Healthgiving,亚洲,Asia,亚洲：日本、新加坡、马来西亚、韩国、伊朗、黎巴嫩等国家均有治疗中心。,Asia: Japan、Singapore、Malaysia 、Korea、 Iran、 Lebanon etc.,also have treating centers.,释康,Healthgiving,中国,China,中国：体外反搏是由中国发扬光大的摇篮，在经过了数,10,年的体外反搏装置发展低谷后，国家现已确立了体外反搏的九五和十五攻关课题的研究和发展计划。,China: ECP was firstly promoted in China. After fifteen years of,ECPs,low valley development, the New ECP let us rethink its key role in the clinical treatment. Now it has become the key research subjects in national plan in the year of 1995-2000 & 2000-2005.,释康,Healthgiving,体外反博走向世界,ECP all over the world,释康,Healthgiving,新型体外反搏装置（,氧饱和度监测式体外反搏装置,HG-3 PLUS,）,The Characteristics of the,EECP-HG3 PLUS,特点：,治疗更安全、有效，设计更合理。,治疗更为舒适，治疗变为享受。,设计更为轻巧，治疗中噪音明显降低。,智能程序高，操作控制简便。,运行稳定，使用寿命长。,Advantages:,More effective and Safer.,Treatment is more comfortable, and enjoy the treatment.,The designing is more,reasonable,simple,& much less noise.,Highly intelligent ,and people-friendly.,More stable and longer life.,释康,Healthgiving,医生体会,Physician thinking,秦教授，心内科主任，博士生导师，对于冠心病患者有多支血管病变药物治疗后，或是冠心病患者介入治疗后有多个支架治疗后仍有绞痛，经体外反搏治疗后仍能明显改善其症状。,Prof.Qin,(cardiologist, tutor of M.D):ECP can also reduce the patients angina pectoris in CAD with multi-vessel disease or patients with multi-,stend,.,病人的感受,patients feeling,病人：王新祥，男、,71,岁，冠心病及糖尿病患者,20,多年前我开始进行体外反搏治疗，目前病情控制很好，服药明显减少，我每年接受两个疗程的体外反搏治疗。,20,年间我只有一次入院治疗，我经历过早期体外反搏装置治疗，体会到现在新型体外反搏治疗更为舒适、未感明显挤压疼痛。,Patient:,Wangxin,xiang,male,71 years old, patient,withf,coronary heart disease & diabetes.“I am taking the ECP treatment twenty years ago, now my condition is very good. The medicine has reduced a lot, I took two course of treatment each year, and only one time for me to go to the hospital during these twenty years.Comparing the treatment which I took before, I deeply feel that the new modal of ECP device is more effective and comfortable and less,painfull,”,释康,Healthgiving,新型体外反搏操作,Operating Guide of EECP-HG3 Plus,释康,Healthgiving,设备组成,parts of EECP,设备分为三个部份,:,治疗床、控制台及空压机,The EECP-HG3 Plus contains three parts: Treatment bed , Console, Air Compressor Unit,释康,Healthgiving,适应症：,冠心病治疗 稳定性心绞痛，不稳定性心绞痛，急性冠脉综合症，急性心肌梗塞，再狭窄的干预。,糖尿病的治疗,脑,缺血的治疗,其它病历报告和报道的作用：,（,1,）改善肝脏微循环障碍所致的肝功能障碍。,（,2,）改善血管性肾功能障碍。,（,3,）对骨质疏松有辅助治疗作用。,（,4,）促进糖脂质代谢降低血脂减少体重。,（,5,）对男性性功能障碍有确切疗效。,（,6,）对亚健康状态，如办公室综合症，电脑、电视综合症，以及长期缺少运动等有保健康复作用。,Indications:,Angina and congestive heart failure.,Coronary heart disease,angina pectoris,myocardial infarction.,Cerebral arteriosclerosis,cerebral thrombosis,cerebral arteries,embolism,parkinsoism,cerebral,ischemic,cerbrovascular,accident,sequelae,.,Hypertension for renal,ischemia,oliguresis,adnuremina,.,Eyeground,arteries embolism,centricity,serosity,retina,choroid,pathologic change optic atrophy.,Sudden deafness.,Cerebral paralysis for children.,Diabetes for arteriosclerosis.,Extremities arteriosclerosis ischemic of,pancreatica,.,Other ischemic pathologic change and,sequelae,due to arteriosclerosis and disturbance of blood circulation.,Hepatitis.,Sports fatigue.,Use for sub_health care and,testoration,.,禁忌症：,严重的主动脉瓣关闭不全，主动脉瘤及夹层动脉瘤。,出血性疾病，未控制的高血压。,各种心瓣膜病。,肢体有血栓性静脉炎或感染病灶。,Contraindications:,Cardiac catheterization within one to two weeks to minimize the likelihood of bleeding at the femoral puncture site.,Arrhythmia that might interfere with the triggering of the treatment system such as,atrial,fibrillation,atrial,flutter,ventricular tachycardia.,Uncontrolled congestive heart failure.In some patients,left ventricular unloading may be insufficient to compensate for increased venous return during the treatment.,Aortic insufficiency where regurgitation would prevent diastolic augmentation.,Limiting peripheral vascular disease(PVD) and/or phlebitis because of increased risk of the lower extremities can compromise effective,counterpulsation,.,Severe hypertension (160/100mmHg).Underthese circumstances,the treatment could produce diastolic blood pressure levels surpassing acceptable limits.,Bleeding diathesis because the pressure of cuff inflations might cause bleeding in leg muscles.,Pregnant women and women of childbearing potential who do not employ a reliable contraceptive method to avoid possible danger to fetus.,释康,Healthgiving,治疗前,1Pre-Treatment 1,医生在治疗前确定其适应症，排除其禁忌症。,The physician should firstly make sure that the patient is suitable for the treatment(indications yes, contradictions no.),释康,Healthgiving,治疗前,2 Pre-Treatment 2,向治疗的病人介绍治疗情况，同时确定病人的心率、呼吸、血压和体温正常）。,Let patient know the treatment clearly and be sure that the patients HR,BR,T and BP are normal.,释康,Healthgiving,治疗前,3 Pre-Treatment 3,病人在治疗前后排空小便，然后着棉织内衣进行治疗。,The patient should urinate and wear the cotton underclothes before treatment.,释康,Healthgiving,治疗前,4 Pre-Treatment 4,清洁病人胸前皮肤，贴心电电极，戴指脉探头。,Clear the skin, fit the ECG electrodes, put on finger probe as show in,pic,.,释康,Healthgiving,治疗前,5 Pre-Treatment 5,病人居坐囊套中央，紧贴下肢皮肤，捆绑囊套。,Patient sit in the middle of the cuffs, wrap the cuffs closely.,释康,Healthgiving,治疗开始,Start Treatment,确定心电指脉血氧正常，启动治疗，治疗中经常观察心电，血氧及治疗指标变化，并询问病人治疗感受，嘱咐病人放松心情和躯体，配合治疗。,ECGSpO,2,(normal) ,Start treatment,monitor patient,patient feeling,patient relax his feeling as well as body,get better treatment result.,释康,Healthgiving,治疗中,During treatment,调整充,(R-I),排,(R-D),时间，观察,D,和,S,波形的变化，及,D/S,比值变化,(,峰值比和面积比值,1.2),。,Regulate time of inflation and deflation, observe D,S wave and D/S Ratio(peak ratio1.2,，,Area Ratio1.2),释康,Healthgiving,Treatment stop,治疗时间到时，计算机自动关闭治疗，去掉治疗电极，探头和囊套，轻扶病人起身，慢慢下治疗床。,When treatment over, the computer stop running, take off the electrodes, finger probe and cuffs. Help the patient to leave the bed slowly.,释康,Healthgiving,After treatment,登记治疗结果，嘱咐病人治疗后休息,10,分钟，可以喝点温开水，然后离开治疗室。,Registering the treatment results, let patient to take ten minutes rest, and drink some warm water and leave the treatment room.,释康,Healthgiving,EECP-HG3 PLUS,型,氧饱和度监测式体外反搏装置,安装指南,Installation Guide,HG-3 External,Counterpulsation,Device with Spo2,释康,Healthgiving,如何正确打开外包装箱,HOW TO OPEN PACKAGE,支架安装,HOW TO INSTALL STAND,空压机的安装,Installation of compressor,.,释康,Healthgiving,主机电源和空压机电源,console power and compressor power,(220VAC 50HZ 6A OR AS NEEDED),Wire 220V,释康,Healthgiving,Treating Bed,Air Compressor Unit,整机调试（内触发）,Test the EECP Unit,during intro-trigger model.,释康,Healthgiving,