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维持放松诱导的血压降低:持续进行放松练习的重要性。

Maintenance of relaxation-induced blood pressure reductions: the importance of continued relaxation practice.

作者信息

Hoelscher T J

机构信息

Duke University Medical Center, Durham, North Carolina 27710.

出版信息

Biofeedback Self Regul. 1987 Mar;12(1):3-12. doi: 10.1007/BF01000074.

DOI:10.1007/BF01000074
PMID:3311172
Abstract

This study examined the long-term importance of continued relaxation practice in the maintenance of relaxation-induced blood pressure reductions. An ABAB withdrawal-reinstatement design was employed with two hypertensive subjects. An objective, unobtrusive measure of home relaxation practice was used to monitor compliance. Subject 1 showed substantial reductions in systolic and diastolic blood pressure during 3 months of relaxation practice, followed by a 60% return to baseline during withdrawal, and a subsequent decrease with reinstatement of relaxation. Subject 2 showed a pattern similar to that of Subject 1 for systolic blood pressure, though the trend for diastolic pressure was unclear owing to a marginal treatment response. These preliminary data suggest that continued relaxation practice may be an important factor in the maintenance of relaxation-induced blood pressure reductions.

摘要

本研究探讨了持续进行放松练习对于维持放松诱导的血压降低的长期重要性。对两名高血压患者采用了ABAB撤药-恢复设计。采用一种客观、不引人注目的家庭放松练习测量方法来监测依从性。受试者1在3个月的放松练习期间收缩压和舒张压大幅降低,在撤药期间血压回升至基线水平的60%,随后在恢复放松练习时血压再次下降。受试者2的收缩压呈现出与受试者1相似的模式,不过由于治疗反应微弱,舒张压的变化趋势并不明确。这些初步数据表明,持续进行放松练习可能是维持放松诱导的血压降低的一个重要因素。

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本文引用的文献

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Noninvasive estimation of central aortic pressure using the oscillometric method for analyzing systemic artery pulsatile blood flow: comparative study of indirect systolic, diastolic, and mean brachial artery pressure with simultaneous direct ascending aortic pressure measurements.使用示波法分析体循环动脉搏动血流对中心主动脉压进行无创估计:间接测量肱动脉收缩压、舒张压和平均压与同步直接测量升主动脉压的对比研究。
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Adherence to instructions to practice relaxation exercises.坚持进行放松练习的指导。
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6
Relaxation practice after biofeedback therapy: a long-term follow-up study of utilization and effectiveness.生物反馈疗法后的放松练习:一项关于利用率和有效性的长期随访研究。
Biofeedback Self Regul. 1983 Jun;8(2):217-27. doi: 10.1007/BF00998852.
7
A device for unobtrusive surveillance of home relaxation practice.一种用于对家庭放松练习进行不引人注意监测的设备。
Behav Modif. 1986 Apr;10(2):219-33. doi: 10.1177/01454455860102005.
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Home relaxation practice in hypertension treatment: objective assessment and compliance induction.高血压治疗中的家庭放松练习:客观评估与依从性诱导
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9
The value of two or three versus a single reading of blood pressure at a first visit.初诊时测量两次或三次血压与单次测量血压的价值比较。
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Relaxation therapy in the treatment of hypertension. A review.放松疗法治疗高血压。一篇综述。
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