Podcast by 王復蘇醫師

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March 20, 2020
#12 體外加強型人工反搏治療器(EECP)
1965年美國哈佛醫學團隊研發「體外人工反搏治療器」。 1980年中國鄭振聲博士改良為現代化的「體外加強型人工反搏治療器」(EECP)。 2000年美國醫療保健財政管理局核准EECP醫療保險之申請。 2002年美國心臟學會正式將EECP納入冠心病之臨床治療指引。 2004年美國食品藥物管理局(FDA)核准EECP可用於四種疾病: (1)穩定或非穩定性心絞痛 (2)急性心肌梗塞 (3)鬱血性心臟衰竭 (4)心因性休克。 2013年歐洲心臟學會建議: 針對藥物治療、介入治療或手術治療仍然無法改善心絞痛病患,可考慮EECP療法。 EECP 的作用原理就是在心臟舒張期,把下肢的血液逆轉返回心臟,促進血液循環,改善心肌缺氧;心臟進入收縮期前期,氣囊則會快速放氣,原本受壓迫的下肢血管開放,讓下肢血管阻力減少,致使降低心臟收縮期的負荷量。 EECP 的治療好處為第一,增加冠狀動脈的血流量。第二,促進心臟新生側枝循環。第三,減輕心臟負荷量 。第四,增加下肢逆轉返回心臟的血流量。第五,降低心肌的需氧量。第六,減少硝酸甘油的使用量。第七,降低心臟衰竭分級之嚴重度,提升運動耐受度,改善患者憂鬱症狀,增進生活品質。

March 20, 2020
#11 失眠 Part II
根據台灣睡眠醫學會2019年統計,台灣慢性失眠症盛行率為20.2%,即每五人就有一人有睡眠障礙的問題。 💤 造成失眠的原因很多,其包含: 1️⃣生理因素 自律神經失調、半夜頻尿、慢性疼痛等 2️⃣心理因素 焦慮、恐慌、憂鬱、悲傷、憤怒等 3️⃣疾病因素 慢性阻塞性肺病、睡眠呼吸中止症、心臟衰竭、攝護腺肥大等 4️⃣職業因素 夜班人員、飛行員、空服員、醫護人員等 💤 失眠依據持續的時間長短,可分為: ☑️急性失眠 (3031) 躺在床上30分鐘仍無法入睡,每週多達3天,持續1個月。 ☑️慢性失眠 (3033) 躺在床上30分鐘仍無法入睡,每週多達3天,持續3個月。 💤 長期失眠造成身體危害,其包含: ▪️荷爾蒙失調 ▪️ 精神不集中 ▪️血壓升高 ▪️ 記憶力變差 ▪️肌肉緊繃痠痛 ▪️ 興趣缺缺 ▪️四肢無力 ▪️ 脾氣暴躁 王復蘇醫師表示,睡眠的重要性在於睡眠期間,體內荷爾蒙會調整分泌、並依照大腦的指令,進行細胞修補,調節情緒與行為,重整認知與記憶。 想了解有關「失眠解決之道」,請聆聽「寶島聯播網」(FM98.5) "寶島歐嗨喲" 節目喔~👨⚕️

December 21, 2019
#10 心血管預防保健 Part II
心臟是人體重要器官之一,心臟的結構,猶如房屋的構造🏠 ❣️心臟的腔室(心房、心室)➡️猶如房屋的房間 ❣️心臟的肌肉(心肌、心內膜)➡️猶如房屋的牆壁 ❣️心臟的瓣膜(二尖瓣、三尖瓣與半月瓣)➡️猶如房屋的房門 ❣️心臟的血管(冠狀動脈)➡️猶如房屋的水管 ❣️心臟的神經纖維(竇房結、房室結、希氏束、蒲金氏)➡️猶如房屋的電線 整個心臟,猶如房間、牆壁、房門、水管、電線等的房屋結構,若任一結構發生問題,例如牆壁剝落、房門鬆脫、水管堵塞、電路短線等,可能出現心臟問題像是心肌病變、瓣膜脫垂、冠狀動脈狹窄與心律不整等的現象。 房屋需定期整修,如同心臟須定期檢查,一般例行性的心臟檢查項目有五種 ✅病史詢問(心悸、胸悶胸痛、呼吸困難、喘息、昏厥等症狀) ✅理學檢查(聽心音、量血壓) ✅胸部X光 ✅心電圖 ✅特殊檢查(視情況安排24hr霍特式心電圖、心臟超音波等) 心臟科王復蘇醫師提醒,無論至醫院或診所檢查,心臟科醫師會視病人情況,進一步安排特殊檢查項目- 24hr霍特式心電圖與心臟超音波,此兩項目是有健保給付,民眾請無須擔心費用的負擔❕ 更多有關「心血管的預防保健 - 認識心臟病」,請聆聽「寶島聯播網」(FM98.5) "寶島歐嗨喲" 節目喔~
12 total episodes available
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