一个更新的网络对成年人初级高血压的非药物干预措施的元分析:来自最近研究的见解
Ziwen Chen1, Qifu Li1, Tao Xu1
1Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Systematic reviews
|December 30, 2024
概括
生活方式干预加上太极拳显著降低血压,为管理初级高血压提供了首选的非药物治疗方法. 其他方法,如呼吸练习和针也显示出希望.
科学领域:
- 心血管健康 心血管健康
- 高血压管理 高血压管理
- 基于证据的医学基于证据的医学.
背景情况:
- 初级高血压是一个主要的全球健康问题,增加了心血管死亡率.
- 非药物干预 (NPI) 显示了对高血压控制的越来越多证据.
- 对NPI的有效性进行全面评估对于公共卫生至关重要.
研究的目的:
- 系统地评估和比较各种非药物干预措施对初级高血压的疗效.
- 将现有知识与2013年至2024年的最新研究更新.
- 为了确定降低血压的最有效的NPI.
主要方法:
- 2013年至2024年间发表的随机对照试验 (RCT) 的网络元分析 (NMA).
- 在八个主要数据库中搜索相关文献.
- 分析了静缩和静缩血压的变化,评估了CINeMA的证据可靠性.
主要成果:
- 审查了54个符合条件的RCT,涉及22个不同的NPI的5,827名参与者.
- 与太极拳相结合的生活方式干预表明,与通常护理相比,缩压 (-21.75 mm Hg) 和腹缩压 (-13.62 mm Hg) 血压显著降低.
- 在网络元分析中没有发现任何显著的不一致性.
结论:
- 生活方式干预加上太极拳是初级高血压的高效NPI.
- 呼吸练习显示出降低缩血压的潜力.
- 针加Tui Na是有效的扩张性血压降低,优于其他干预措施.
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