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耳穴疗法对妊娠期高血压的影响:随机对照试验研究

Effects of Auriculotherapy on Gestational Hypertension: Randomized Controlled Trial Study.

作者信息

Keshtkar Ladan, Ranjkesh Fatemeh, Habibi Mohammad, Rashvand Farnoosh

机构信息

Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.

Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):40-45. doi: 10.4103/ijnmr.ijnmr_403_20. eCollection 2024 Jan-Feb.

DOI:10.4103/ijnmr.ijnmr_403_20
PMID:38333341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10849284/
Abstract

BACKGROUND

This study aims to observe how auriculotherapy acts as a nonpharmacological treatment for pregnant women's gestational hypertension.

MATERIALS AND METHODS

This study was a randomized controlled trial. Eighty patients were with gestational hypertension recruited and divided into control (n = 40) and intervention (n = 40) groups. The control group just received the usual perinatal care. The intervention group received one month of auriculotherapy in addition to the usual care. Blood pressure was measured before and 15 minutes after rest in both groups twice a week. The data were analyzed using descriptive statistics and inferential tests.

RESULTS

The mean systolic blood pressure, based on the Mann-Whitney test, was not statistically significant between the two groups before the intervention and in the first two weeks after the intervention ( >0.05); however, after the third week of intervention, the mean systolic blood pressure in the intervention group was significantly lower than that in the control group ( <0.001). As per the Mann-Whitney test, the mean diastolic blood pressure was not statistically significant between the two groups before the intervention and the first week after the intervention ( <0.05). However, after the second week of intervention, the mean diastolic blood pressure in the intervention group was significantly lower than that in the control group, and this decrease was highest in the fourth week of the intervention ( <0.001).

CONCLUSIONS

This study demonstrated that auriculotherapy would reduce blood pressure in pregnant women suffering from hypertension.

摘要

背景

本研究旨在观察耳穴疗法作为一种非药物治疗方法对妊娠期高血压孕妇的作用。

材料与方法

本研究为随机对照试验。招募了80例妊娠期高血压患者,分为对照组(n = 40)和干预组(n = 40)。对照组仅接受常规围产期护理。干预组在常规护理基础上接受为期一个月的耳穴疗法。两组每周两次在休息前和休息15分钟后测量血压。数据采用描述性统计和推断性检验进行分析。

结果

根据曼-惠特尼检验,干预前及干预后前两周两组的平均收缩压无统计学差异(>0.05);然而,干预第三周后,干预组的平均收缩压显著低于对照组(<0.001)。根据曼-惠特尼检验,干预前及干预后第一周两组的平均舒张压无统计学差异(<0.05)。然而,干预第二周后,干预组的平均舒张压显著低于对照组,且在干预第四周时下降最为明显(<0.001)。

结论

本研究表明,耳穴疗法可降低妊娠期高血压孕妇的血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f96/10849284/c832e0f4a85f/IJNMR-29-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f96/10849284/c832e0f4a85f/IJNMR-29-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f96/10849284/c832e0f4a85f/IJNMR-29-40-g001.jpg

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Int J Gynaecol Obstet. 2023 Jan;160 Suppl 1:22-34. doi: 10.1002/ijgo.14540.
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Cardiovascular mortality in women in their forties after hypertensive disorders of pregnancy in the Netherlands: a national cohort study.荷兰妊娠高血压疾病后四十多岁女性的心血管死亡率:一项全国队列研究。
Lancet Healthy Longev. 2023 Jan;4(1):e34-e42. doi: 10.1016/S2666-7568(22)00292-6.
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Maternal hypertensive disorder of pregnancy and mortality in offspring from birth to young adulthood: national population based cohort study.
妊娠合并高血压疾病与母婴围生期结局的关系:全国基于人群的队列研究
BMJ. 2022 Oct 19;379:e072157. doi: 10.1136/bmj-2022-072157.
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Healthcare (Basel). 2022 Feb 9;10(2):325. doi: 10.3390/healthcare10020325.
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Non-pharmacological management of hypertension.高血压的非药物治疗。
J Clin Hypertens (Greenwich). 2021 Jul;23(7):1275-1283. doi: 10.1111/jch.14236. Epub 2021 Mar 18.
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