Enhanced External Counterpulsation (EECP) 體外反搏 (體外加強搏衝治療)

☀ What is External Counterpulsation Therapy (EECP)?

External Counterpulsation Therapy (EECP) is a computer-controlled system that utilizes physical principles to create hemodynamic changes in the body. Inflatable pressure cuffs are wrapped around the lower limbs, and the system uses ECG signals to trigger the inflation and deflation of these cuffs.

The cuffs inflate sequentially from the calves → thighs → hips during diastole (when the heart relaxes), and deflate simultaneously during systole (when the heart contracts). The inflation applies pressure to the arteries and veins in the legs, creating a rhythmic "vascular massage" effect.

Who Can Benefit from EECP?

Patients with the following chronic conditions may benefit from EECP therapy:

🫀 Vascular Diseases:

• History of stroke or high risk of stroke

• Peripheral vascular disease

• Poor circulation in limbs

❤️ Cardiac Diseases:

• Stable or unstable angina

• Post-angioplasty, cardiac catheterization, or bypass surgery

• Coronary artery disease

• Congestive heart failure

• Cardiomyopathy

• Vascular stenosis

⚠️ EECP Is Not Suitable for Patients With the Following Contraindications (as assessed by a physician):

• Bleeding disorders or tendency to bleed easily

• Active thrombophlebitis

• Severe peripheral artery occlusive disease

• Aortic valve stenosis

• Aortic aneurysm requiring surgical intervention

• Untreated intracranial aneurysm or arteriovenous malformations

• Malignant tumors

• Pregnancy

◍ Frequently Asked Questions (Q&A)

Q: What does EECP feel like?
A: EECP is performed while lying on a bed. The treatment is painless and feels somewhat like a relaxing massage—some patients even fall asleep during the session.

Q: Will I feel pain during EECP treatment?
A: Some patients may feel mild pressure on the legs and hips due to the inflation of the cuffs. Most patients become accustomed to this pressure and can complete the session comfortably.

Q: Can I undergo just a few EECP sessions?
A: EECP treatment requires a set number of sessions to be effective. Undergoing only a few sessions will likely yield no noticeable results. It is recommended to complete the full treatment course for optimal benefits.

Note: Treatment effectiveness may vary depending on individual health conditions. This information is intended for educational purposes and should not replace a medical consultation. All treatments must be evaluated and prescribed by a qualified physician.

This content is for health education and to share new medical knowledge. Differences between terminology used here and official medication leaflets may exist (e.g., some terms are non-official or refer to off-label use). For any questions or concerns, please contact our hospital through our system or by phone.

☀ 什麼是體外反搏治療？

體外反搏治療(EECP)，是一套由電腦控制之系統，利用物理的原理產生血液動力學的改變。藉由一套可充氣的加壓帶包覆於下肢，系統偵測心電圖來觸發加壓帶的充氣與放氣。
加壓帶相繼地從小腿→大腿→髖臀部位於心舒張期做充氣的動作，隨後於心收縮期同時做放氣的動作。隨著加壓帶的充氣，下肢動脈和靜脈的血管受到壓力而收縮，規律的血管按摩。

有下列慢性病族群可以受惠於EECP：

血管疾病：曾經中風或中風高危險群、週邊血管疾病、四肢血循不良。

心臟疾病：穩定型或不穩定型心絞痛、血管擴張術、心導管、繞道手術術後患者、冠狀動脈心臟病、充血性心衰竭、心肌病變、血管狹窄。

⚠️ 經專業醫師評估後，如有下列禁忌症，則不適合接受體外反搏(EECP)：

• 易出血體質。
• 活動血栓性靜脈炎。
• 嚴重的下肢血管阻塞性疾病。
• 主動脈瓣狹窄。
• 需進行外科處置的主動脈瘤。
• 尚未處理的顱內動脈瘤及動脈畸形。
• 惡性腫瘤。
• 妊娠懷孕婦女。

◍ 常見問題Q&A

Ｑ：體外反搏(EECP)做起來的感覺是什麼？

Ａ：EECP是平躺在床上進行治療，過程沒有疼痛感，有點類似按摩放鬆，所以有些人可能還會睡著

Ｑ：體外反搏(EECP)治療過程中是否會感覺疼痛？

Ａ：治療過程中，部分患者會因為腿部與臀部加壓出現些許受壓感；當患者習慣這股壓力後，就能舒適地度過療程

Ｑ：體外反搏(EECP)能只做幾次就好嗎？

Ａ：EECP療程有一定的治療次數，若只做幾次是無法看出成效的，建議還是完成全部療程才能有最佳效果。

療程效果會因個人體質而有差異，本文資訊僅為醫療解釋說明，無法替代醫師問診，療程須由醫師做專業諮詢與評估。
本內文資訊以衛教宣導及分享醫療新知為目的，內文名稱與仿單不同之處（部分為仿單核准適應症外的使用介紹，或口語化之俗稱），僅供民眾理解參考，若有疑慮或有任何問題，請向本院系統留言或致電本院告知。