Kallinke D, Kulick B, Heim P
J Psychosom Res. 1982;26(5):541-9. doi: 10.1016/0022-3999(82)90095-2.
Various relaxation techniques have the potential to bring about promising blood pressure (BP) reductions in essential hypertension; but the treatment gains often fail to be sustained over a prolonged period of time. Until now, behavioural treatment approaches have not included efforts to increase patient awareness of situations that provoke BP elevations. In our study, numerous BP measurements were therefore taken In various situations by approximately 120 essential hypertensives. These measures were used to acquaint the patients with their own BP variability, to help them understand psychologically induced BP-variations, and to encourage them to cope with their hyper-reactivity in general and in response to specific stressful situations. Forty-eight patients were given the opportunity to learn to relax and to cope with stressful life situations. They showed promising BP reductions after treatment and at follow-up one year later. But our diagnostic findings using these methods indicate that essential hypertensives are anything but a homogeneous group. A variety of treatment approaches may therefore be required.
各种放松技巧都有可能使原发性高血压患者的血压显著降低；但治疗效果往往无法在较长时间内持续。到目前为止，行为治疗方法尚未包括提高患者对引发血压升高情况的认识的努力。因此，在我们的研究中，约120名原发性高血压患者在各种情况下进行了多次血压测量。这些测量用于让患者了解自身血压的变异性，帮助他们理解心理因素引起的血压变化，并鼓励他们总体上应对自身的高反应性以及应对特定的压力情况。48名患者有机会学习放松并应对紧张的生活状况。治疗后及一年后的随访中，他们的血压有了显著降低。但我们使用这些方法的诊断结果表明，原发性高血压患者绝不是一个同质群体。因此，可能需要多种治疗方法。
