正念疗法对原发性高血压患者干预效果的系统评价.

Objective To systematically evaluate the interventional effect of mindfulness therapy in the patients with essential hypertension.Methods The randomized controlled trials（RCTs) on the application of the mindfulness therapy in the patients with essential hypertension were retrieved from the databases of Cochrane Library, PubMed, Web of Science, Embase, CNKI,VIP,Wanfang and Chinese biomedical Document Service System.The two researchers independently screened the obtained literatures, conducted the quality evaluation and extracted the data.The RevMan5.4 software was used to conduct a meta-analysis.Results A total of 12 RCTs were included, with a total of 989 patients.There were 504 cases in the observation group and 485 cases in the control group.Compared with the control group, the systolic blood pressure, diastolic blood pressure and the scores of self-rating anxiety scale, self-rating depression scale and Pittsburgh sleep quality index were decreased, and the differences were statistically significant[difference in means（MD)=-6.63,-1.72,-10.40,-9.35,-3.05,95% confidence interval（95%CI)-9.03--4.23,-2.67--0.77,-11.56--8.51,-11.11--7.59,-3.93--2.17,P＜0.001].Conclusion The mindfulness therapy can reduce the systolic and diastolic blood pressure in the patients with essential hypertension, moreover the effect of reducing the systolic blood pressure is better than of the diastolic blood pressure.meanwhile, it could improve the anxiety and depression emotions, and increase the sleep quality. [ABSTRACT FROM AUTHOR]

目的 系统评价正念疗法对原发性高血压患者的干预效果. 方法 检索Cochrane Library, PubMed, Web of Science, Embase, 中国知网, 维普资讯中文期刊服务平台, 万方医学网, 中国生物医学文献服务系统等数据库中关于正念疗法用于原发性高血压患者的随机对照试验. 由2名研究者独立对获得文献进行筛查, 质量评价和资料提取. 采用RevMan5.4软件进行meta分析. 结果 共纳入12篇文献，共989例患者，观察组504例，对照组485例. 与对照组比较，观察组患者收缩压, 舒张压, 焦虑及抑郁自评量表评分, 匹兹堡睡眠质量指数评分均降低，差异均有统计学意义（均数差=-6.63, -1.72, -10.40, -9.35, -3.05,95%可信区间：-9.03～-4.23, -2.67～-0.77, -11.56～-8.51, -11.11～-7.59, -3.93～-2.17,P＜0.001）. 结论 正念疗法能降低原发性高血压患者收缩压和舒张压，且降低收缩压的效果优于舒张压，同时，改善患者焦虑, 抑郁情绪，提高睡眠质量. [ABSTRACT FROM AUTHOR]