高血压患者灵感肌肉训练的影响:元分析
ShuQi Zheng1,2, Qi Zhang1,2, ShuiYan Li1,2
1School of Rehabilitation Sciences, Southern Medical University, Guangzhou, China.
Frontiers in cardiovascular medicine
|June 19, 2023
概括
启发性肌肉训练 (IMT) 在高血压患者中显著降低血压,心率和脉冲压. 低强度IMT在管理高血压方面表现出卓越的有效性,提供了一个有前途的辅助方法.
科学领域:
- 心血管医学 心血管医学
- 呼吸系统生理学 呼吸系统生理学
- 临床高血压管理管理
背景情况:
- 高血压是一个普遍存在的全球健康问题,需要有效的管理策略.
- 鼓舞性肌肉训练 (IMT) 是一种新兴的非药物干预,具有潜在的心血管益处.
- 作为高血压的辅助治疗,IMT的有效性需要进行全面的研究.
研究的目的:
- 系统评估启发性肌肉训练 (IMT) 对高血压患者血动力学关键参数的影响.
- 为IMT作为高血压补充治疗的临床应用提供基于证据的指导.
- 为了比较不同的IMT强度在治疗高血压方面的有效性.
主要方法:
- 对8项随机对照试验 (RCT) 进行了元分析,涉及215名高血压患者.
- 在主要数据库 (科克兰图书馆,科学网,PubMed,Embase,CNKI,万芳) 进行了2022年7月之前发表的研究的搜索.
- 使用Revman 5.4软件计算压缩性血压 (SBP),压缩性血压 (DBP),心率 (HR) 和脉冲压 (PP) 的平均差异 (MD).
主要成果:
- 在高血压患者中,IMT显著降低了SBP (MD: -12.55 mmHg),DBP (MD: -4.77 mmHg),HR (MD: -5.92 bpm) 和PP (MD: -8.92 mmHg).
- 亚组分析显示,低强度IMT在降低SBP (MD: -14.47 mmHg) 和DBP (MD: -7.70 mmHg) 方面比中高强度更有效.
- 这些发现是基于对八项RCT的元分析,为IMT的影响提供了强有力的证据.
结论:
- 启发性肌肉训练 (IMT) 显示出作为一种辅助疗法,用于改善高血压患者的血液动力学状况的显著潜力.
- 在这个人群中,低强度IMT似乎比中高强度IMT在血压调节方面更有效.
- 进一步的研究可能会巩固IMT在综合高血压管理策略中的作用.
关键词:
IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT IMT血压 血压 血压 血压这种高血压,高血压.启发性肌肉训练是一项激发性肌肉训练.这是一个元分析.更多相关视频
11:34Breathing-controlled Electrical Stimulation BreEStim for Management of Neuropathic Pain and Spasticity
Published on: January 10, 2013
23.2K
08:34Investigation into Deep Breathing through Measurement of Ventilatory Parameters and Observation of Breathing Patterns
Published on: September 16, 2019
11.7K
相关概念视频
Measurement of Blood Pressure
1.0K
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
1.0K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
469
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
469
Mechanism of Breathing III: The Accessory Muscles
2.5K
The Role of Accessory Muscles in the Respiratory System
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...
2.5K
Heart Failure Drugs: β-Blockers
382
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
382
Exercise and Cardiac Output
1.1K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.1K
Heart Failure V: Medical Management
16
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
16
