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原发性高血压的放松疗法:一项退伍军人管理局门诊研究。

Relaxation therapy for essential hypertension: a Veterans Administration Outpatient study.

作者信息

Brauer A P, Horlick L, Nelson E, Farquhar J W, Agras W S

出版信息

J Behav Med. 1979 Mar;2(1):21-9. doi: 10.1007/BF00846560.

Abstract

Twenty-nine patients who had been treated with antihypertensive medication for at least the preceding 6 months were randomly assigned to (1) therapist-conducted, face-to-face progressive, deep-muscle relaxation training for 10 weekly sessions, or (2) progressive deep-muscle relaxation therapy conducted mainly by home use of audio cassettes, or (3) nonspecific individual psychotherapy for 10 weekly sessions. No differences between the groups were found immediately after therapy; however, the therapist-conducted relaxation therapy group showed the greatest changes: -17.8 mm Hg systolic, -9.7 mm Hg diastolic at 6 months follow-up. Some significant trends in results among the three therapists were also found. No correlation existed between blood pressure changes and changes in dopamine-beta-hydroxylase (DbH) levels.

摘要

29名此前至少接受了6个月抗高血压药物治疗的患者被随机分为三组:(1)由治疗师指导,进行为期10周的每周一次的面对面渐进式深度肌肉放松训练;(2)主要通过在家使用录音带进行渐进式深度肌肉放松治疗;(3)进行为期10周的每周一次的非特异性个体心理治疗。治疗后立即发现三组之间没有差异;然而,由治疗师指导的放松治疗组显示出最大的变化:在6个月的随访中,收缩压下降17.8毫米汞柱,舒张压下降9.7毫米汞柱。在三位治疗师的治疗结果中也发现了一些显著趋势。血压变化与多巴胺-β-羟化酶(DbH)水平的变化之间不存在相关性。

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