热治疗干预中的急性血压反应和安全考虑:叙述性综述
Satoshi Yamasaki1, Tomotake Tokunou2, Yusuke Kashiwado3
1Department of Hematology, St. Mary's Hospital, Kurume 830-8543, Japan.
Complementary therapies in medicine
|March 7, 2026
概括
热疗会导致血压暂时下降,但对老年人和β-阻断剂使用者的安全性需要更多的研究. 对高血压的长期益处没有得到证实.
科学领域:
- 心血管健康 心血管健康
- 治疗方式 治疗方式
- 老年医学 老年医学
背景情况:
- 高血压是全球心血管疾病的主要原因.
- 对热疗法的急性血压反应通常被认为是良性的.
- 在药物治疗,脆弱的老年人中,热疗法的安全性尚未得到充分证实.
研究的目的:
- 综合有关热疗法的急性血压反应的证据.
- 评估热疗法的安全考虑因素.
- 专注于老年人和β-阻断剂的使用者.
主要方法:
- 对研究进行系统审查至2024年3月.
- 包括RCT,交叉,非随机和观察性研究.
- 搜索了多个电子数据库和临床试验注册表.
主要成果:
- 热疗法 (桑拿浴,温泉等) 是一种热疗法. 在24小时内引起暂时的缩血压降低 (11-27 mmHg).
- 大多数研究都有局限性:缺乏对照组,异质性.
- 建议在β-阻断剂使用者中降低更大的血压;严重的不良事件很少发生.
结论:
- 热疗法始终会导致暂时降低血压.
- 长期抗高血压疗效尚未得到证实.
- 在脆弱的老年人和β-阻断剂使用者中,安全性需要通过标准化协议和高质量的RCT进行进一步调查.
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