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放松疗法治疗高血压。一篇综述。

Relaxation therapy in the treatment of hypertension. A review.

作者信息

Jacob R G, Kraemer H C, Agras W S

出版信息

Arch Gen Psychiatry. 1977 Dec;34(12):1417-27. doi: 10.1001/archpsyc.1977.01770240043003.

DOI:10.1001/archpsyc.1977.01770240043003
PMID:400780
Abstract

The literature on the use of relaxation or relaxation-like procedures (relaxation therapy) in the treatment of hypertension was critically reviewed. Relaxation therapy resulted in greater reduction of blood pressure than placebo or other control procedures. A positive relationship was found between the average blood pressure decrease and the average pretreatment pressure. Relaxation-like therapies shared the features of muscular relaxation, regular practice, mental focusing, and task awareness. Research on the relative contributions of these components indicated that task awareness adds to the treatment effect in the laboratory setting, and that regular practice is necessary for optimal results in the clinical setting. The role of muscular relaxation and mental focusing is unclear. We concluded that relaxation therapy may become a useful adjunct to medication in the clinical management of hypertension, especially for individuals whose blood pressures remain high despite pharmacological treatment.

摘要

对使用放松或类似放松程序(放松疗法)治疗高血压的文献进行了批判性综述。与安慰剂或其他对照程序相比,放松疗法能使血压有更大幅度的降低。平均血压下降与平均治疗前血压之间存在正相关关系。类似放松的疗法具有肌肉放松、定期练习、精神专注和任务意识等特点。对这些组成部分相对作用的研究表明,在实验室环境中,任务意识会增加治疗效果,而在临床环境中,定期练习对于获得最佳效果是必要的。肌肉放松和精神专注的作用尚不清楚。我们得出结论,放松疗法可能成为高血压临床管理中药物治疗的有用辅助手段,尤其是对于那些尽管进行了药物治疗但血压仍居高不下的个体。

相似文献

1
Relaxation therapy in the treatment of hypertension. A review.放松疗法治疗高血压。一篇综述。
Arch Gen Psychiatry. 1977 Dec;34(12):1417-27. doi: 10.1001/archpsyc.1977.01770240043003.
2
Relaxation therapy as an adjunct treatment for essential hypertension.放松疗法作为原发性高血压的辅助治疗方法。
J Fam Pract. 1980 Nov;11(6):901-8.
3
Nonpharmacologic control of essential hypertension in man: a critical review of the experimental literature.人体原发性高血压的非药物控制:对实验文献的批判性综述。
Psychosom Med. 1978 Jun;40(4):294-320. doi: 10.1097/00006842-197806000-00003.
4
Treatment of hypertension with biofeedback and relaxation techniques.采用生物反馈和放松技巧治疗高血压。
Psychosom Med. 1978 Jun;40(4):276-93. doi: 10.1097/00006842-197806000-00002.
5
Relaxation therapy for hypertension: setting-specific effects.高血压的放松疗法:特定环境的影响。
Psychosom Med. 1992 Jan-Feb;54(1):87-101. doi: 10.1097/00006842-199201000-00011.
6
Efficacy of relaxation techniques in hypertensive patients.放松技巧对高血压患者的疗效。
Health Psychol. 1988;7 Suppl:193-200.
7
Home relaxation techniques for essential hypertension.原发性高血压的家庭放松技巧
Psychosom Med. 1984 Sep-Oct;46(5):398-414. doi: 10.1097/00006842-198409000-00002.
8
[Relaxation techniques for patients with high blood pressure].[高血压患者的放松技巧]
MMW Fortschr Med. 2007 Nov 8;149(45):45-6. doi: 10.1007/BF03365191.
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Behavioral versus pharmacological treatments for essential hypertension: a pilot study.原发性高血压的行为治疗与药物治疗:一项试点研究。
Int J Psychiatry Med. 1980;10(1):33-40. doi: 10.2190/9wp1-u8mc-kb0q-kb0e.
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Combined behavioral and pharmacological treatment of essential hypertension.原发性高血压的行为与药物联合治疗
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Healthcare (Basel). 2023 Aug 11;11(16):2264. doi: 10.3390/healthcare11162264.
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Graefes Arch Clin Exp Ophthalmol. 2015 Sep;253(9):1465-70. doi: 10.1007/s00417-014-2837-6. Epub 2014 Nov 19.
3
The impact of religion on men's blood pressure.
宗教对男性血压的影响。
J Relig Health. 1989 Dec;28(4):265-78. doi: 10.1007/BF00986065.
4
Modified relaxation technique for treating hypertension in Thai postmenopausal women.改良放松技术治疗泰国绝经后女性高血压。
J Multidiscip Healthc. 2013 Oct 3;6:373-8. doi: 10.2147/JMDH.S51580. eCollection 2013.
5
Autogenic training: a narrative and quantitative review of clinical outcome.自生训练:临床结果的叙述性和定量综述
Biofeedback Self Regul. 1994 Sep;19(3):227-64. doi: 10.1007/BF01721069.
6
Meditation training and essential hypertension: a methodological study.冥想训练与原发性高血压:一项方法学研究。
J Behav Med. 1980 Mar;3(1):59-71. doi: 10.1007/BF00844914.
7
Psychological treatment of essential hypertension: a controlled comparison of meditation and meditation plus biofeedback.原发性高血压的心理治疗:冥想与冥想加生物反馈的对照比较
Biofeedback Self Regul. 1982 Sep;7(3):305-16. doi: 10.1007/BF00998923.
8
Evaluation of a minimal-therapist-contact thermal biofeedback treatment program for essential hypertension.一项针对原发性高血压的最少治疗师接触式热生物反馈治疗方案的评估。
Biofeedback Self Regul. 1987 Jun;12(2):93-103. doi: 10.1007/BF01000011.
9
Predicting interindividual differences in blood-pressure response to relaxation training in normotensives.预测血压正常者对放松训练的血压反应个体差异。
J Behav Med. 1987 Aug;10(4):395-410. doi: 10.1007/BF00846478.
10
Maintenance of relaxation-induced blood pressure reductions: the importance of continued relaxation practice.维持放松诱导的血压降低:持续进行放松练习的重要性。
Biofeedback Self Regul. 1987 Mar;12(1):3-12. doi: 10.1007/BF01000074.