慢呼吸训练对高血压患者血液动力学变化,心脏自主功能和神经内分泌反应的影响:一项随机对照试验
Kornanong Yuenyongchaiwat1, Khaimuk Changsri2, Somrudee Harnmanop3
1Physiotherapy Department, Faculty of Allied Health Sciences, Thammasat University, Pathumtani, Thailand; Thammasat University Research Unit for Physical Therapy in Respiratory and Cardiovascular Systems, Thammasat University, Pathumthani, Thailand.
Journal of bodywork and movement therapies
|March 3, 2024
概括
慢呼吸训练 (SBT) 有效降低高血压 (BP) 和应激反应能力. 这种非药物干预改善了心脏自主功能,并降低了患有高血压的参与者的唾液皮质醇水平.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 神经内分泌学神经内分泌学
背景情况:
- 高血压 (BP) 是全球主要的死亡和发病原因.
- 非药物干预,包括缓慢呼吸训练 (SBT),为管理高血压提供了一个有希望的方法.
- 有限的研究存在于SBT对高血压个体心脏激活和氧化应激的影响.
研究的目的:
- 研究SBT对心脏自主功能的影响,用心率变化 (HRV) 来衡量.
- 评估SBT对神经内分泌应激反应的影响,特别是唾液皮质醇水平.
- 评估SBT在管理高血压 (BP) 的有效性.
主要方法:
- 一项为期4周的随机对照试验,涉及100名高血压参与者.
- 干预组 (n=50) 每天接受30分钟的SBT,每周5天,每分钟10次呼吸.
- 对照组 (n=50) 维持了他们的日常生活; BP,HRV和唾液皮质醇在干预前和后被测量.
主要成果:
- 与对照组相比,SBT组的参与者显示血压和唾液皮质醇水平显著降低 (p < .05).
- 干预组表现出正常R-R间隔的标准偏差显著增加,表明心脏自主功能得到改善 (p < .05).
- 71%的参与者完成了这项研究,干预组表现出积极的生理变化.
结论:
- 在高血压患者中,SBT对心脏自主调节和应激反应有显著的影响.
- 这些发现支持SBT作为一种有价值的非药物健康促进策略,用于管理高血压.
- 在心血管疾病风险降低方面,SBT为传统治疗提供了潜在的补充方法.
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