对于基本高血压的心身疗法干预:基于抗高血压效应的网络元分析
Haojun Cui1, Wanru Guo1, Hongfei Zhao2
1Shanghai University of Sport of Martial Arts Academy, Shanghai, China.
布拉玛里普拉纳雅玛和特异性功显示有望降低基本高血压时的缩血压. 声音放松冥想还有助于减轻腹压血压,这表明心身疗法可以有效地管理高血压.
科学领域:
- 心血管医学 心血管医学
- 整合和补充医学是整合和补充医学.
- 公共卫生 公共卫生
背景情况:
- 基本高血压 (EH) 是严重心血管和脑血管疾病的主要危险因素.
- 高血压约占所有高血压病例的90%,需要有效的管理策略.
- 心身疗法 (MBT) 越来越多地被探索,因为它们有可能降低血压.
研究的目的:
- 量化综合了来自MBT治疗基本高血压的随机对照试验 (RCT) 的证据.
- 为了比较和排名各种MBT在降低心压和腹压血压方面的有效性.
- 为选择有效的MBT干预措施提供基于证据的指导.
主要方法:
- 在多个生物医学数据库中对英语RCT进行了全面的文献搜索.
- 使用STATA 18.0的频率网络元分析 (NMA) 来分析15个RCT (949名参与者) 的数据.
- 考克兰偏差风险工具评估了研究质量,并评估了网络的一致性/稳定性.
主要成果:
- 布拉玛里普拉纳雅玛 (BP) 和特异性功 (SQ) 在降低缩性血压 (SBP) 方面排名最高.
- 声音放松冥想 (SRM),SQ和BP显示了对减轻腹压血压 (DBP) 的有利排名.
- 虽然大多数MBT显示出降血压效果,但排名表明有效性的相对概率.
结论:
- 布拉玛里普拉纳雅玛和特异性功在EH患者中对SBP表现出优越的相对效应.
- 声音放松冥想,特定的功和布拉玛里普拉纳雅玛在减少DBP方面相对有效.
- 建议进行进一步的大规模RCT以证实这些发现,因为样本规模有限.
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