希罗达拉对基本高血压的影响:系统性审查和元分析
Meenakshi Khapre1, Dhanlika Dhanlika1, Sriloy Mohanty1
1Additional Professor, Department of Community and Family Medicine, AIIMS, Rishikesh, Uttarakhand, India.
Journal of education and health promotion
|March 19, 2025
概括
希罗达拉是一种阿尤尔韦达疗法,对基本高血压患者的临床症状显著减少. 虽然它显著降低了心压血压,但它对心压血压的影响尚不清楚,需要进一步研究.
科学领域:
- 综合医学是一个整体的医学.
- 心血管健康 心血管健康
- 艾尤尔韦达科学 艾尤尔韦达科学
背景情况:
- 基本高血压是一个普遍的全球健康问题,特别是在印度,发病率不断上升.
- 阿尤尔韦达疗法,如希罗达拉,以其减轻压力和放松的特性而闻名.
研究的目的:
- 系统地审查和分析希罗达拉对血压 (心压和心压) 以及基本高血压相关临床症状的影响.
- 为了评估Shirodhara作为Ayurvedic药物的辅助药物的影响,与单独的Ayurvedic药物相比.
主要方法:
- 从多个数据库 (PubMed,Embase,Scopus等) 来源的随机对照试验 (RCT) 的系统审查和元分析. 在2023年6月之前.
- 使用标准化平均差异 (SMD) 测定血压和评估临床症状缓解的三项RCT (n=100) 的定量分析.
- 对RCT的质量评估使用修订后的Cochrane偏差风险工具 (RoB-2) 进行.
主要成果:
- 希罗达拉显著降低了心压血压 (MD = -0.40 mmHg,p < 0.05),但对心压血压的影响不那么明显 (MD = -1.257 mmHg,p > 0.05).
- 希罗达拉加阿育吠陀组与阿育吠陀组相比,在临床症状 (如心,失眠,头,疲劳和头痛) 中观察到显著的改善.
- 缩血压的异质性 (I2 = 89.3%) 表明研究之间存在显著的变化.
结论:
- 希罗达拉可以在管理与基本高血压相关的临床症状方面提供好处,并且显示出对透静血压的显著影响,尽管临床价值较低.
- 对缩血压的整体影响仍然不确定,需要进行更大,更高质量的研究来确认有效性并优化高血压管理的治疗方案.
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