Blood pressure biofeedback treatment of white-coat hypertension.
Blood pressure biofeedback treatment of white-coat hypertension.
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DOI：
10.1016/s0022-3999(99)00104-x
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发表时间：
2000-02
影响因子：
4.7
通讯作者：
Mutsuhiro Nakao;M. Nakao;M. Nakao;S. Nomura;T. Shimosawa;T. Fujita;T. Kuboki
中科院分区：
文献类型：
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作者：
Mutsuhiro Nakao;M. Nakao;M. Nakao;S. Nomura;T. Shimosawa;T. Fujita;T. Kuboki
目的比较白大衣高血压和高血压病患者的血压生物反馈治疗效果。方法将15例白大衣高血压患者和23例高血压病患者随机分为A、B两组，A组每周进行1次生物反馈治疗，共4次。结果A组白大衣高血压和高血压病患者的血压分别降低了22/11和14/8 mm Hg。B组在同一时间段不变，但随后被BF抑制。在BF状态下，白大衣高血压患者的脉搏和呼吸频率显著高于高血压病患者，而精神应激试验引起的舒张压升高的抑制效果好于高血压病患者。结论白大衣高血压患者对这两种类型的高血压均有效，而压力反应在区分BF效应中起重要作用。
ObjectiveThe objective of the study was to compare blood pressure (BP) biofeedback treatment (BF) effects between white-coat hypertension and essential hypertension.MethodsFifteen white-coat hypertensive out-patients and 23 essential hypertensive out-patients were randomly assigned to groups A or B. Subjects in group A underwent BF once a week for a total of four sessions. Those in group B visited the clinic only to measure BP and later underwent the same BF.ResultsIn group A, BPs of white-coat hypertensives and essential hypertensives were significantly reduced by 22/11 and 14/8 mmHg, respectively. In group B, they were unchanged during the same period but later suppressed by BF. Under BF, pulse and respiratory rates were significantly higher, and elevation of diastolic BP due to mental stress testing was better suppressed in white-coat hypertensives than in essential hypertensives.ConclusionThis treatment was effective in both types of hypertension, and pressor response to stress seems to be important in the differentiated BF effect.