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  

Influence of meditation on epinephrine and norepinephrine levels of elderly people with hypertension in community

作　　者：沈红五[1] 宋艳[2] 潘海燕[1] 俞杰[1] 徐旭娟[1] 丁敏[1] 

机构地区：[1]南通大学附属医院 [2]南通大学护理学院

出　　处：《护理研究（上旬版）》2013年第10期3093-3096,共4页Chinese Nursing Researsh

基　　金：南通市社会事业科技创新与示范计划项目经费资助项目;编号:HS2012046

摘　　要：[目的]观察冥想对社区老年高血压病人血压以及血浆中肾上腺素、去甲肾上腺素水平的影响,探讨冥想对血压影响的可能机制。[方法]将133例社区老年轻中度高血压病人随机分为两组,观察组67例,对照组66例;两组均保持入组前所用抗高血压药物的种类和用量并进行社区高血压病人自我管理技能培训,观察组另外进行8周的冥想训练,包括每周1次的团体训练以及每日2次的家中练习;分别于干预前后测量血压以及检测血浆中肾上腺素、去甲肾上腺素水平的变化。[结果]最后完成干预的病人观察组62例、对照组60例,两组一般资料比较差异无统计学意义(P>0.05);干预后观察组病人的血压、肾上腺素与去甲肾上腺素水平低于干预前,差异亦有统计学意义(P<0.05),且与对照组干预后比较,差异均有统计学意义(P<0.05)。[结论]冥想有助于降低社区老年高血压病人的血压,且对血浆中肾上腺素、去甲肾上腺素水平有降低作用,冥想的降压作用可能与其降低此两种激素水平有关。Objective：To observe influence of meditation on the community elderly hypertensive patients＇ blood pressure and plasma epinephrine, nor- epinephrine levels, and to probe into the possible influencing mechanism on blood pressure. Methods： A total of 133 community old patients with mild- moderate hypertension were randomly divided into two groups, the obser- vation group with 67 cases, the control group with 66 cases; Both groups were kept into the group of antihypertensive drugs used before the type and amount in patients with hypertension and for community self - man- agement skills training,observation group patients received eight weeks of meditation training,including weekly group training and twice daily home exercises ;blood pressure were measured before and after intervention and the plasma epinephrine, norepinephrine levels changes were determined. Results：Patients who finalized the intervention included 62 cases of pa- tients in observation group and 60 patients in the control group, there was no significant difference in general data between the two groups （P〉0. 05）;in observation group, after the intervention the patients＇ blood, epinephrine and norepinephrine levels were lower than that before the intervention,the differences were statistically significant （P〈0.05）,and compared with the control group, the differences were statistically significant after the inter- vention（P〈0. 05）. Conclusion： Meditation is helpful for lowering blood pressure of aged community patients with hypertension, and can reduce the plasma epinephrine, norepinephrine levels, and its antihypertensive effect may be related to reducing the level of these two hormones.

关 键 词：高血压 老年人 去甲肾上腺素 肾上腺素 冥想 

分 类 号：R473.2[医药卫生—护理学]