慢速呼吸训练调整血压功能的系统综述

doi:10.3969/j.issn.1006-9771.2021.11.009

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (11): 1299-1306.doi: 10.3969/j.issn.1006-9771.2021.11.009

慢速呼吸训练调整血压功能的系统综述

郝文雪¹,郑婕¹,李瑞青^1,²,冯红霞²,李洁莹¹,胡延超¹,冯晓东^1,²()

1.河南中医药大学,河南郑州市 450046
2.河南中医药大学第一附属医院,河南郑州市 450099

收稿日期:2021-07-20 修回日期:2021-08-17 出版日期:2021-11-25 发布日期:2021-12-03
通讯作者: 冯晓东 E-mail:fxd0502@163.com
作者简介:郝文雪(1995-),女,汉族,河南商丘市人,硕士研究生,主要研究方向：慢性病康复。|冯晓东(1968-),男,河南驻马店市人,主任医师、教授,博士生导师,主要研究方向：慢性病、脑卒中、脑外伤等疾病引起的认知、言语、吞咽、运动等功能障碍的康复评定和治疗。
基金资助:
河南省中医管理局国家中医临床研究基地科研专项(2018JDZX011);河南省中医管理局国家中医临床研究基地科研专项(2018JDZX083)

Slow Breathing Training for Hypertension: A Systematic Review

HAO Wen-xue¹,ZHENG Jie¹,LI Rui-qing^1,²,FENG Hong-xia²,LI Jie-ying¹,HU Yan-chao¹,FENG Xiao-dong^1,²()

1. Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China
2. The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan 450099, China

Received:2021-07-20 Revised:2021-08-17 Published:2021-11-25 Online:2021-12-03
Contact: FENG Xiao-dong E-mail:fxd0502@163.com
Supported by:
Tranditional Chinese Medicine Administration of Henan Province National Chinese Medicine Clinical Research Base Construction Research Program(2018JDZX011);Tranditional Chinese Medicine Administration of Henan Province National Chinese Medicine Clinical Research Base Construction Research Program(2018JDZX083)

摘要/Abstract

摘要：

目的系统评价慢速呼吸训练对高血压的治疗作用。方法采用主题检索方式检索慢速呼吸训练治疗高血压的相关文献,中文数据库包括中国知网和万方数据库,英文数据库包括PubMed和Web of Science,检索时间为建库至2021年3月。提取内容为作者、发表时间、受试者、干预方法和时间、主要结局指标和结论。结果共返回文献924篇,最终纳入35篇,发表时间主要集中在2009年至2020年,研究对象为高血压患者,主要结局指标为血压。结论单纯慢速呼吸训练有降压作用,可能与提高动脉压力反射敏感性、改善心率变异性、减少交感神经活动、刺激心肺舒张受体有关。

关键词: 高血压, 慢速呼吸训练, 系统综述

Abstract:

Objective To evaluate the effects of slow breathing training on hypertension.Methods Articles about slow breathing training for hypertension were retrieved from CNKI, Wangfang Data, PubMed and Web of Science, until March, 2021. The authors, publishing time, subjects, interventions and courses, and outcome indexes and conclusion were extracted.Results There were 924 articles returned, and 35 included, which published mainly from 2009 to 2020. The subjects were patients with hypertension, and the outcome index was blood pressure.Conclusion Slow breathing training may work for hypertension, which associates to baroreflex sensitivity, heart rate variability, sympathetic nerve activity and cardiopulmonary diastolic receptors.

Key words: hypertension, slow breathing training, systematic review

郝文雪,郑婕,李瑞青,冯红霞,李洁莹,胡延超,冯晓东. 慢速呼吸训练调整血压功能的系统综述[J]. 《中国康复理论与实践》, 2021, 27(11): 1299-1306.

HAO Wen-xue,ZHENG Jie,LI Rui-qing,FENG Hong-xia,LI Jie-ying,HU Yan-chao,FENG Xiao-dong. Slow Breathing Training for Hypertension: A Systematic Review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1299-1306.

图/表 2

图1

表2

纳入文献的一般情况"

研究	出版年	研究对象	干预	主要结局指标	结果
瑜伽调息
Mourya等^[8]	2009	原发性高血压	交替鼻孔慢呼吸,3个月	血压、心率随呼吸变化,握力试验、冷压反应等自主神经功能测试	血压在3个月内下降,疗效优于快呼吸
Fetter等^[9]	2020	高血压绝经女性	瑜伽或伸展动作+慢呼吸,12周	血压、血管和内皮功能以及氧化应激状况	进一步改善血压、血管和内皮功能,以及氧化应激状况
Bhavanani等^[10]	2011	高血压	Sukha调息	干预前和干预后即刻心率和血压	心率、收缩压、脉压、平均动脉压、心率-压力乘积和倍数乘积降低
Thanalakshmi 等^[11]	2020	高血压	Sheetali调息,3个月	血压、HRV	血压降低,HRV改善
冥想
Hager等^[14]	1978	原发性高血压	冥想,4周	收缩压和舒张压	收缩压和舒张压降低
Manikonda等^[15]	2008	原发性高血压	冥想,8周	心率、收缩压和舒张压	心率、收缩压和舒张压降低
沈红五等^[16]	2013	轻、中度高血压	冥想,8周	血压,血浆肾上腺素、去甲肾上腺素水平	血压、肾上腺素与去甲肾上腺素水平降低
宋艳等^[17]	2013	轻、中度高血压	冥想,8周	血压、焦虑自评量表和抑郁自评量表评分,肾上腺素和去甲肾上腺素的水平	收缩压、舒张压、焦虑评分低于对照组;肾上腺素和去甲肾上腺素低于干预前
de Fatima等^[18]	2015	1级高血压	冥想,3个月	血压、简易精神状态检查、生活质量评估工具	降低收缩压,改善心理状况和生活质量
Venturelli等^[19]	2015	1级高血压	冥想,12周	静息血压、血糖和胆固醇水平、峰值摄氧量、机械效率和生活质量	改善血压和生活质量
Blackwell等^[22]	1976	高血压	超觉冥想,12周	血压、焦虑评分	降低血压和焦虑评分
Pollack等^[23]	1977	高血压	超觉冥想,6个月	收缩压、舒张压、脉率、血浆凝集素	收缩压和脉率小幅下降
Duraimani等^[55]	2015	1级高血压	超觉冥想,16周	端粒酶基因表达和血压	端粒酶基因表达增加,血压降低
负荷呼吸
Jones等^[24]	2010	1级或2级原发性高血压	慢速负荷(20 cmH₂O)呼吸,8周	静息血压和心率	血压下降更显著
Sangthong等^[25]	2016	单纯收缩期高血压	慢速负荷(18 cmH₂O)呼吸,8周	血压和心率	降低静息血压,疗效持续更久
Ubolsakka-Jones 等^[26]	2017	单纯收缩期高血压	慢速负荷(18 cmH₂O)呼吸,8周	静态握力运动血压	降低静息收缩压
Ublosakka-Jones 等^[27]	2018	单纯收缩期高血压	慢负荷呼吸(25%最大吸气压),8周	静息血压和心率;最大吸气压;肺活量;胸腹伸展;50%心率储备下手臂屈曲运动耐力	降低静息血压,增加吸气肌力、肺活量和手臂运动持续时间
Ubolsakka-Jones 等^[28]	2019	单纯收缩期高血压	慢负荷呼吸(25%最大吸气压),8周	家庭、实验室血压和心率对静态握力和动态手臂弯曲运动的反应	降低患者的静息血压及对静态和动态运动的反应
音乐引导
Modesti等^[31]	2010	高血压	音乐引导慢速呼吸,6个月	24 h动态血压	收缩压降低
Modesti等^[32]	2015	1级原发性高血压	音乐引导慢速呼吸,8周	办公室和动态血压监测、肾脏多普勒超声、序贯方法和频谱分析、高频和低频频谱功率	动态血压降低
Kow等^[33]	2018	1级原发性高血压	音乐引导慢速呼吸,8周	收缩压和舒张压	收缩压和舒张压降低
设备引导
Schein等^[34]	2001	高血压	互动音乐呼吸设备引导慢速呼吸,8周	收缩压、舒张压和平均动脉压	血压降低
Viskoper等^[35]	2003	高血压	RESPeRATE^®引导慢呼吸,8周	办公室和家庭血压	血压降低
Anderson等^[36]	2010	高血压前期或1级高血压	RESPeRATE^®引导慢呼吸,4周	24 h血压和呼吸模式	降低静息血压、午间动态收缩压(仅限女性)和静息呼吸频率,增加静息潮气量
Schein等^[38]	2009	高血压、2型糖尿病	RESPeRATE^®引导慢呼吸,8周	办公室血压	随着依从性增加,血压下降幅度更大
Howorka等^[39]	2013	高血压、糖尿病	RESPeRATE^®引导慢呼吸,8周	动态血压监测和标准化改良立位负荷时的短期HRV频谱	收缩压和脉压降低;HRV增加
Oneda等^[40]	2010	高血压	互动音乐呼吸设备引导的慢速呼吸	即时肌交感神经活动、血压、心率	降低血压和交感神经活动
Bertisch等^[41]	2011	高血压伴阻塞性睡眠呼吸暂停	BiPAP^®Pro2引导慢速呼吸,8周	办公室收缩压和舒张压	收缩压降低
Adams等^[42]	2018	高血压前期	呼吸意识冥想APP引导慢速呼吸,6个月	静息血压、心率	收缩压降低
Chandler等^[43]	2020	高血压	呼吸意识冥想APP引导慢速呼吸,12个月	静息收缩压	收缩压降低
Bachler等^[44]	2020	高血压	生物信号探测系统连接APP设备引导慢速呼吸	即时脉冲到达时间	脉冲到达时间增加,血压降低
de Barros等^[50]	2017	高血压	RESPeRATE^®引导慢呼吸,8周	动态血压监测、儿茶酚胺和肌交感神经活动	对血压、儿茶酚胺水平和肌交感神经活动无影响
Altena等^[57]	2009	高血压	RESPeRATE^®引导慢呼吸,9周	血压和生活质量	对血压或生活质量无影响
其他
Da Justa Pinheiro等^[47]	2007	原发性高血压	通过更大的胸部扩张进行慢速呼吸训练,1个月	HRV、收缩压、舒张压、平均动脉压、呼吸测量、胸部扩张测量	收缩压、舒张压和平均动脉压降低;HRV增加;呼吸频率下降;潮气量和胸廓扩张性增加
Kaushik等^[58]	2006	原发性高血压	自主调节慢速呼吸训练	即时收缩压、舒张压、心率、呼吸频率、肌电活动、外周皮温和皮肤电导率	心率、呼吸频率、收缩压和舒张压降低

表2

参考文献 59

[1]	WILLIAMS B, MANCIA G, SPIERING W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension[J]. Eur Heart J, 2018, 39(33):3021-3104. doi: 10.1093/eurheartj/ehy339
[2]	中国高血压防治指南修订委员会, 高血压联盟(中国), 中华医学会心血管病学分会, 等. 中国高血压防治指南 (2018年修订版)[J]. 中国心血管杂志, 2019, 24(1):24-56.
	Chinese Guidelines for the Management of Hypertension Writing Group, Hypertension Alliance (China), Chinese Society of Cardiology, et al. 2018 Chinese Guidelines for the Management of Hypertension[J]. Chin J Cardiovasc Med, 2019, 24(1):24-56.
[3]	WHELTON P K, CAREY R M, ARONOW W S, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/ APhA/ ASH/ ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J]. Circulation, 2018, 138(17):e426-e483.
[4]	王增武, 杨瑛, 王文, 等. 我国高血压流行新特征:中国高血压调查的亮点和启示[J]. 中国循环杂志, 2018, 33(10):937-939.
	WANG Z W, YANG Y, WANG W, et al. New characteristics of hypertension prevalence in China: Highlights and enlightenment of Hypertension Survey in China[J]. Chin Circ J, 2018, 33(10):937-939.
[5]	ACHELROD D, WENZEL U, FREY S. Systematic review and meta-analysis of the prevalence of resistant hypertension in treated hypertensive populations[J]. Am J Hypertens, 2015, 28(3):355-361. doi: 10.1093/ajh/hpu151
[6]	BERNARDI L, SPADACINI G, BELLWON J, et al. Effect of breathing rate on oxygen saturation and exercise performance in chronic heart failure[J]. Lancet, 1998, 351(9112):1308-1311. doi: 10.1016/S0140-6736(97)10341-5
[7]	PRAMANIK T, SHARMA H O, MISHRA S, et al. Immediate effect of slow pace Bhastrika Pranayama on blood pressure and heart rate[J]. Altern Complement Med, 2009, 15(3):293-295.
[8]	MOURYA M, MAHAJAN A S, SINGH N P, et al. Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension[J]. J Alter Complem Med, 2009, 15(7):711-717. doi: 10.1089/acm.2008.0609
[9]	FETTER C, MARQUES J R, DE SOUZA L A, et al. Additional improvement of respiratory technique on vascular function in hypertensive postmenopausal women following Yoga or stretching video classes: the YOGINI Study[J]. Front Physiol, 2020, 11:898. doi: 10.3389/fphys.2020.00898
[10]	BHAVANANI A B, SANJAY Z, MADANMOHAN. Immediate effect of Sukha Pranayama on cardiovascular variables in patients of hypertension[J]. Int J Yoga Therap, 2011(21):73-76.
[11]	THANALAKSHMI J, MAHESHKUMAR K, KANNAN R, et al. Effect of Sheetali Pranayama on cardiac autonomic function among patients with primary hypertension: a randomized controlled trial[J]. Complem Ther Clin Prac, 2020, 39:101138.
[12]	TYAGI A, COHEN M. Yoga and hypertension: a systematic review[J]. Altern Ther Health Med, 2014, 20(2):32-59.
[13]	KABAT-ZINN J, HANH T N. Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness[R]. New York: The Program of the Stress Reduction Clinic at the University of Massachusetts Medical Center, 1990Delta.
[14]	HAGER J L, SURWIT R S. Hypertension self-control with a portable feedback unit or meditation-relaxation[J]. Biofeedback Self Regul, 1978, 3(3):269-276. doi: 10.1007/BF00999295
[15]	MANIKONDA J P, STOERK S, TOEGEL S, et al. Contemplative meditation reduces ambulatory blood pressure and stress-induced hypertension: a randomized pilot trial[J]. J Hum Hypertens, 2008, 22(2):138-140. doi: 10.1038/sj.jhh.1002275
[16]	沈红五, 宋艳, 潘海燕, 等. 冥想对社区老年高血压病人肾上腺素和去甲肾上腺素水平的影响[J]. 护理研究, 2013, 27(28):3093-3096.
	SHEN H W, SONG Y, PAN H Y, et al. Influence of meditation on epinephrine and norepinephrine levelsof elderly people with hypertension in community[J]. Nurs Res, 2013, 27(28):3093-3096.
[17]	宋艳, 耿桂灵, 沈红五, 等. 社区老年轻中度高血压患者冥想干预效果研究[J]. 中国全科医学, 2013, 16(18):1688-1691.
	SONG Y, GENG G L, SHEN H W, et al. Meditation intervention of elderly patients with mild or moderate hypertension in communities[J]. Chin Gener Prac, 2013, 16(18):1688-1691.
[18]	DE FATIMA R M M, KOZASA E H, MIRANDA R D, et al. Decrease in blood pressure and improved psychological aspects through meditation training in hypertensive older adults: a randomized control study[J]. Geriatr Gerontol Int, 2015, 15(10):1158-1164. doi: 10.1111/ggi.2015.15.issue-10
[19]	VENTURELLI M, CE E, LIMONTA E, et al. Effects of endurance, circuit, and relaxing training on cardiovascular risk factors in hypertensive elderly patients[J]. Age (Dordr), 2015, 37(5):101. doi: 10.1007/s11357-015-9835-4
[20]	WALLACE R K, BENSON H, WILSON A F. A wakeful hypometabolic physiologic state[J]. Am J Physiol, 1971, 221(3):795-799. doi: 10.1152/ajplegacy.1971.221.3.795
[21]	SCHEIBEL M E, SCHEIBEL A B. Brain and behavior: session I. symposium, 1959. 2. The physiology of consciousness[J]. Am J Orthopsychiatry, 1960, 30:10-14. doi: 10.1111/j.1939-0025.1960.tb03003.x
[22]	BLACKWELL B, BLOOMFIELD S, GARTSIDE P, et al. Transcendental meditation in hypertension-individual response patterns[J]. Lancet, 1976, 1(7953):223-226.
[23]	POLLACK A A, CASE D B, WEBER M A, et al. Limitations of transcendental meditation in treatment of essential hypertention[J]. Lancet, 1977, 1(8002):71-73.
[24]	JONES C U, SANGTHONG B, PACHIRAT O. An inspiratory load enhances the antihypertensive effects of home-based training with slow deep breathing: a randomised trial[J]. J Physiother, 2010, 56(3):179-186. doi: 10.1016/S1836-9553(10)70023-0
[25]	SANGTHONG B, UBOLSAKKA-JONES C, PACHIRAT O, et al. Breathing training for older patients with controlled isolated systolic hypertension[J]. Med Sci Sport Exerc, 2016, 48(9):1641-1647. doi: 10.1249/MSS.0000000000000967
[26]	UBOLSAKKA-JONES C, SANGTHONG B, KHRISANAPANT W, et al. The effect of slow-loaded breathing training on the blood pressure response to handgrip exercise in patients with isolated systolic hypertension[J]. Hypertens Res, 2017, 40(10):885-891. doi: 10.1038/hr.2017.54
[27]	UBLOSAKKA-JONES C, TONGDEE P, PACHIRAT O, et al. Slow loaded breathing training improves blood pressure, lung capacity and arm exercise endurance for older people with treated and stable isolated systolic hypertension[J]. Exp Gerontol, 2018, 108:48-53. doi: 10.1016/j.exger.2018.03.023
[28]	UBOLSAKKA-JONES C, TONGDEE P, JONES D A. The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension[J]. Physiother Res Int, 2019, 24:e17854.
[29]	ETZEL J A, JOHNSEN E L, DICKERSON J, et al. Cardiovascular and respiratory responses during musical mood induction[J]. Int J Psychophysiol, 2006, 61(1):57-69. doi: 10.1016/j.ijpsycho.2005.10.025
[30]	KHALFA S, ROY M, RAINVILLE P, et al. Role of tempo entrainment in psychophysiological differentiation of happy and sad music?[J]. Int J Psychophysiol, 2008, 68(1):17-26. doi: 10.1016/j.ijpsycho.2007.12.001
[31]	MODESTI P A, FERRARI A, BAZZINI C, et al. Psychological predictors of the antihypertensive effects of music-guided slow breathing[J]. J Hypertens, 2010, 28(5):1097-1103. doi: 10.1097/HJH.0b013e3283362762
[32]	MODESTI P A, FERRARI A, BAZZINI C, et al. Time sequence of autonomic changes induced by daily slow-breathing sessions[J]. Clin Auton Res, 2015, 25(2):95-104. doi: 10.1007/s10286-014-0255-9
[33]	KOW F P, ADLINA B, SIVASANGARI S, et al. The impact of music guided deep breathing exercise on blood pressure control: a participant blinded randomised controlled study[J]. Med J Malaysia, 2018, 73(4):233-238.
[34]	SCHEIN M H, GAVISH B, HERZ M, et al. Treating hypertension with a device that slows and regularises breathing: a randomised, double-blind controlled study[J]. J Hum Hypertens, 2001, 15(4):271-278. doi: 10.1038/sj.jhh.1001148
[35]	VISKOPER R, SHAPIRA I, PRILUCK R, et al. Nonpharmacologic treatment of resistant hypertensives by device-guided slow breathing exercises[J]. Am J Hypertens, 2003, 16(6):484-487. doi: 10.1016/S0895-7061(03)00571-5
[36]	ANDERSON D E, MCNEELY J D, WINDHAM B G. Regular slow-breathing exercise effects on blood pressure and breathing patterns at rest[J]. J Hum Hypertens, 2010, 24(12):807-813.
[37]	BROOK R D, APPEL L J, RUBENFIRE M, et al. Beyond medications and diet: alternative approaches to lowering blood pressure: a scientific statement from the american heart association[J]. Hypertension, 2013, 61(6):1360-1383. doi: 10.1161/HYP.0b013e318293645f
[38]	SCHEIN M H, GAVISH B, BAEVSKY T, et al. Treating hypertension in type II diabetic patients with device-guided breathing: a randomized controlled trial[J]. J Hum Hypertens, 2009, 23(5):325-331. doi: 10.1038/jhh.2008.135
[39]	HOWORKA K, PUMPRLA J, TAMM J, et al. Effects of guided breathing on blood pressure and heart rate variability in hypertensive diabetic patients[J]. Auton Neurosci, 2013, 179(1-2):131-137. doi: 10.1016/j.autneu.2013.08.065
[40]	ONEDA B, ORTEGA K C, GUSMAO J L, et al. Sympathetic nerve activity is decreased during device-guided slow breathing[J]. Hypertens Res, 2010, 33(7):708-712. doi: 10.1038/hr.2010.74
[41]	BERTISCH S M, SCHOMER A, KELLY E E, et al. Device-guided paced respiration as an adjunctive therapy for hypertension in obstructive sleep apnea: a pilot feasibility study[J]. Appl Psychophysiol Biofeedback, 2011, 36(3):173-179. doi: 10.1007/s10484-011-9158-x
[42]	ADAMS Z W, SIEVERDES J C, BRUNNER-JACKSON B, et al. Meditation smartphone application effects on prehypertensive adults' blood pressure: dose-response feasibility trial[J]. Health Psychol, 2018, 37(9):850-860. doi: 10.1037/hea0000584
[43]	CHANDLER J, SOX L, DIAZ V, et al. Impact of 12-month smartphone breathing meditation program upon systolic blood pressure among non-medicated stage 1 hypertensive adults[J]. Int J Environ Res Public Health, 2020, 17:19556.
[44]	BACHLER M, SEHNERT W, MIKISEK I, et al. Non-invasive quantification of the effect of device-guided slow breathing with direct feedback to the patient to reduce blood pressure[J]. Physiol Meas, 2020, 41(10):104002. doi: 10.1088/1361-6579/abb320
[45]	MANCIA G, GRASSI G. The autonomic nervous system and hypertension[J]. Circ Res, 2014, 114(11):1804-1814. doi: 10.1161/CIRCRESAHA.114.302524
[46]	LI C, CHANG Q, ZHANG J, et al. Effects of slow breathing rate on heart rate variability and arterial baroreflex sensitivity in essential hypertension[J]. Medicine (Baltimore), 2018, 97(18):e639.
[47]	DA JUSTA PINHEIRO C H, RIBEIRO MEDEIROS R A, MOURA PINHEIRO D G, et al. Spontaneous respiratory modulation improves cardiovascular control in essential hypertension[J]. Arq Bras Cardiol, 2007, 88(6):651-659. doi: 10.1590/S0066-782X2007000600005
[48]	GOSO Y, ASANOI H, ISHISE H, et al. Respiratory modulation of muscle sympathetic nerve activity in patients with chronic heart failure[J]. Circulation, 2001, 104(4):418-423. doi: 10.1161/hc2901.093111
[49]	GADDUM N R, KEEHN L, GUILCHER A, et al. Altered dependence of aortic pulse wave velocity on transmural pressure in hypertension revealing structural change in the aortic wall[J]. Hypertension, 2015, 65(2):362-369. doi: 10.1161/HYPERTENSIONAHA.114.04370
[50]	DE BARROS S, DA SILVA G V, DE GUSMAO J L, et al. Effects of long term device-guided slow breathing on sympathetic nervous activity in hypertensive patients:a randomized open-label clinical trial[J]. Blood Press, 2017, 26(6):359-365. doi: 10.1080/08037051.2017.1357109
[51]	徐峰, 王宁, 刘金尧, 等. 老年高血压病人血压动态变化与心率变异性的关系[J]. 中国老年学杂志, 2011, 31(23):4516-4517.
	XU F, WANG N, LIU J Y, et al. Relationship between dynamic changes of blood pressure and heart rate variability in elderly patients with hypertension[J]. Chin J Gerontol, 2011, 31(23):4516-4517.
[52]	PITZALIS M V, MASTROPASQUA F, MASSARI F, et al. Effect of respiratory rate on the relationships between RR interval and systolic blood pressure fluctuations: a frequency-dependent phenomenon[J]. Cardiovasc Res, 1998, 38(2):332-339. doi: 10.1016/S0008-6363(98)00029-7
[53]	DE COUCK M, CAERS R, MUSCH L, et al. How breathing can help you make better decisions: two studies on the effects of breathing patterns on heart rate variability and decision-making in business cases[J]. Int J Psychophysiol, 2019, 139:1-9. doi: 10.1016/j.ijpsycho.2019.02.011
[54]	NARKIEWICZ K, VAN DE BORNE P, MONTANO N, et al. Sympathetic neural outflow and chemoreflex sensitivity are related to spontaneous breathing rate in normal men[J]. Hypertension, 2006, 47(1):51-55. doi: 10.1161/01.HYP.0000197613.47649.02
[55]	DURAIMANI S, SCHNEIDER R H, RANDALL O S, et al. Effects of lifestyle modification on telomerase gene expression in hypertensive patients: a pilot trial of Stress Reduction and Health Education Programs in African Americans[J]. PLoS One, 2015, 10:e014268911.
[56]	BERNARDI L, GABUTTI A, PORTA C, et al. Slow breathing reduces chemoreflex response to hypoxia and hypercapnia, and increases baroreflex sensitivity[J]. J Hypertens, 2001, 19(12):2221-2229. doi: 10.1097/00004872-200112000-00016
[57]	ALTENA M R, KLEEFSTRA N, LOGTENBERG S J, et al. Effect of device-guided breathing exercises on blood pressure in patients with hypertension: a randomized controlled trial[J]. Blood Press, 2009, 18(5):273-279. doi: 10.3109/08037050903272925
[58]	KAUSHIK R M, KAUSHIK R, MAHAJAN S K, et al. Effects of mental relaxation and slow breathing in essential hypertension[J]. Complement Ther Med, 2006, 14(2):120-126. doi: 10.1016/j.ctim.2005.11.007
[59]	NIU J F, ZHAO X F, HU H T, et al. Should acupuncture, biofeedback, massage, Qigong, relaxation therapy, device-guided breathing, Yoga and Tai Chi be used to reduce blood pressure?: Recommendations based on high-quality systematic reviews[J]. Complement Ther Med, 2019, 42:322-331. doi: 10.1016/j.ctim.2018.10.017

慢速呼吸训练调整血压功能的系统综述

Slow Breathing Training for Hypertension: A Systematic Review

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 2

参考文献 59

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	王航宇, 葛可可, 范永红, 都丽露, 邹敏, 封磊. 基于ICD-11和ICF主动式音乐疗法改善认知障碍老年人认知功能的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 36-43.
[2]	闻嘉宁, 金秋艳, 张琦, 李杰, 司琦. 认知参与型身体活动对发展儿童青少年执行功能的效果：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 44-53.
[3]	葛可可, 范永红, 王航宇, 都丽露, 李长江, 邹敏. 失眠老年人正念干预健康效益的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 54-60.
[4]	张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.
[5]	王俊宇, 杨永, 袁逊, 谢婷, 庄洁. 高强度间歇训练对健康儿童青少年执行功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1012-1020.
[6]	魏晓微, 杨剑, 魏春艳. 特殊教育学校孤独症谱系障碍儿童参与适应性瑜伽活动的心理与行为效益的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1021-1028.
[7]	杨亚茹, 杨剑. 基于WHO-HPS架构学校身体活动相关健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1040-1047.
[8]	史佳伟, 李凌宇, 杨浩杰, 王琴潞, 邹海欧. 预康复对全膝关节置换术后患者的有效性：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1057-1064.
[9]	蒋长好, 黄辰, 高晓妍, 戴元富, 赵国明. 神经反馈训练对老年人认知功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(8): 903-909.
[10]	魏晓微, 杨剑, 魏春艳, 贺启令. 学校环境下适应性体育课程促进智力与发展性残疾儿童心理运动发展的系统综述[J]. 《中国康复理论与实践》, 2023, 29(8): 910-918.
[11]	王少璞, 陈钢. 基于世界卫生组织健康促进学校架构的心理行为健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(7): 800-807.
[12]	蒋长好, 高晓妍. 短时身体活动对儿童认知功能影响的系统综述[J]. 《中国康复理论与实践》, 2023, 29(6): 667-672.
[13]	余中起, 王超, 贺刚, 张梁, 王瑞艳. 短足训练对成年扁平足患者干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(5): 551-557.
[14]	蓝诗玲, 庞伟, 李鑫, 刘梦云, 战玉军. 动作观察疗法对脑性瘫痪患儿上肢功能作用的系统综述[J]. 《中国康复理论与实践》, 2023, 29(5): 558-564.
[15]	黄承兰, 侯俞彤, 杨云霄, 曾红, 张子砚, 赵文宽, 王赞博, 单春雷, 戴尅戎, 蔡斌, 王金武. 3D打印矫形鞋垫在扁平足中应用的系统综述[J]. 《中国康复理论与实践》, 2023, 29(4): 416-422.