Shetty Saket P, Patil Aravind V, Khodnapur Jyoti P, Kotennavar Manjunath, Jaju Pradeep, Savanth Manjunath, Ghanteppagol Veena, Ballal Narendra, Gb Divyang, Doddannavar Shreeya
General Surgery, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijaypura, IND.
General Surgery, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Cureus. 2024 Nov 12;16(11):e73511. doi: 10.7759/cureus.73511. eCollection 2024 Nov.
Introduction is a complex process influenced by various physiological and psychological factors. Stress, in particular, has been shown to impair wound healing by affecting the immune response and slowing the repair process. Yoga-based relaxation techniques, such as bhramari pranayama and Om chanting, have demonstrated the potential to reduce stress and improve overall well-being. Material and methods This comprehensive study is a prospective comparative interventional study with a sample size of 268 elective surgery patients. In addition to standard treatment, patients were taught yoga, and various parameters were measured to ensure a thorough evaluation of the impact of these techniques on stress levels and wound healing. Result The intervention groups demonstrated significant improvements in wound healing and stress reduction compared to the control group, with the combination of bhramari pranayama and Om chanting showing the most substantial effects. Post-intervention heart rate variability (HRV) low-frequency/high-frequency (LF/HF) ratios decreased to a median of 3.25 (SD 0.14) in the combination group, compared to 4.39 (SD 0.13) in the control group (p<0.001). Endothelial nitric oxide synthase (eNOS) levels increased to 3.49 ng/mL (SD 0.12) from 1.02 ng/mL (SD 0.24) in the control group (p < 0.001). Post-intervention, HRV LF/HF ratios decreased to a median of 3.25 (SD 0.14) in the combination group compared to 4.39 (SD 0.13) in the control group (p<0.001). eNOS levels increased to 3.49 ng/mL (SD 0.12) from 1.02 ng/mL (SD 0.24) in the control group (p < 0.001). Additionally, 36% of participants in the combination group achieved Grade 0 wound healing, compared to 16% in the control group (p<0.001). These findings indicate that yoga interventions effectively enhance post-operative recovery. Conclusion This study is pertinent due to the growing interest in integrating complementary and alternative medicine (CAM) with conventional medical practices to enhance patient outcomes. The intersection of yoga-based practices and wound healing presents a novel approach to post-operative care.
引言 愈合是一个受多种生理和心理因素影响的复杂过程。特别是压力，已被证明会通过影响免疫反应和减缓修复过程来损害伤口愈合。基于瑜伽的放松技巧，如蜂鸣式呼吸法和唱诵“唵”音，已显示出减轻压力和改善整体幸福感的潜力。材料与方法 这项全面的研究是一项前瞻性比较干预研究，样本量为268名择期手术患者。除了标准治疗外，还教授患者瑜伽，并测量各种参数，以全面评估这些技巧对压力水平和伤口愈合的影响。结果 与对照组相比，干预组在伤口愈合和压力减轻方面有显著改善，蜂鸣式呼吸法和唱诵“唵”音相结合的效果最为显著。干预后，联合组心率变异性（HRV）低频/高频（LF/HF）比值降至中位数3.25（标准差0.14），而对照组为4.39（标准差0.13）（p<0.001）。内皮型一氧化氮合酶（eNOS）水平从对照组的1.02 ng/mL（标准差0.24）升至3.49 ng/mL（标准差0.12）（p<0.001）。干预后，联合组HRV的LF/HF比值降至中位数3.25（标准差0.14），而对照组为4.39（标准差0.13）（p<0.001）。eNOS水平从对照组的1.02 ng/mL（标准差0.24）升至3.49 ng/mL（标准差0.12）（p<0.001）。此外，联合组36%的参与者实现了0级伤口愈合，而对照组为16%（p<0.001）。这些发现表明瑜伽干预有效地促进了术后恢复。结论 由于人们越来越有兴趣将补充和替代医学（CAM）与传统医疗实践相结合以提高患者治疗效果，本研究具有相关性。基于瑜伽的实践与伤口愈合的交叉为术后护理提供了一种新方法。
