反射学对心血管患者血压和心率的影响:一项元分析研究
1Marmara University, Faculty of Health Sciences, Department of Nursing, Department of Internal Medicine Nursing - İstanbul, Türkiye.
反射疗法在心血管患者中显著降低了静缩和静缩血压. 然而,这种补充疗法在分析的研究中没有显示出对心率的显著影响.
科学领域:
- 心脏病学 心脏病学
- 补充医学是一种补充医学.
- 基于证据的实践.
背景情况:
- 心血管疾病仍然是全球死亡的主要原因.
- 心血管疾病的有效管理策略通常涉及生活方式修改和治疗干预.
- 反射疗法是一种补充疗法,因其潜在的健康益处而越来越多地被探索.
研究的目的:
- 进行一项元分析,评估反射学对血压和心率的影响.
- 综合来自不同研究设计的证据,关于反射学在心血管患者的疗效.
- 确定反射学对心血管疾病患者关键生理标志物的影响.
主要方法:
- 在包括PubMed,MEDLINE和Web of Science在内的主要数据库中进行系统的文献搜索.
- 包括随机控制,非随机控制和准实验设计的研究.
- 使用综合元分析软件对1041名年龄在18岁以上,已诊断患有心血管疾病的患者的数据进行了元分析.
主要成果:
- 反射疗法显示,缩性血压 (Hedges' g=-0.41, p=0.02) 和缩性血压 (Hedges' g=-0.38, p=0.01) 在统计学上显著降低.
- 分析包括12项涉及18至75岁患者的研究.
- 没有观察到反射学对心率的显著影响 (赫奇斯的g=0.16,p=0.12).
结论:
- 反射疗法在患有心血管疾病的患者中,对降低静缩和静缩血压产生积极影响.
- 目前的证据不支持反射学对这群人心率的显著影响.
- 研究结果表明,反射学可能是心血管患者血压管理的有益补充方法.
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