[The dynamics of 24-hour arterial pressure monitoring with manual and physical exposure to the cervical spine (A. Shishonin method) in patients with essential arterial hypertension].

Q4 Medicine
A Yu Shishonin, V I Pavlov, V P Zaitsev, M V Gvinianidze
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引用次数: 0

Abstract

One of the most probable and controversial hypotheses regarding the etiology of essential arterial hypertension, is the increase in arterial pressure due to intracranial ischemia, for various reasons, particularly because of cervical osteochondrosis. The daily arterial blood pressure dynamics is of interest when attempting non-pharmacological induced correction of arterial pressure by manual and physical effects on the cervical spine.

Objective: To evaluate daily arterial pressure dynamics in patients with essential arterial hypertension who received non-pharmacological treatment by manual-physical action on the cervical spine (A.J. Shishonin method).

Material and methods: The main group consisted of 120 patients (61 men and 59 women, mean age 59.3±8.5 and 59.8±8.2 years respectively) with pre-hypertension or hypertension 1st degree (systolic AD in the range from 135 to 159 mm Hg. or diastolic AD from 85 to 99 mm Hg. All patients had signs of impaired blood flow through the vertebral arteries in the ultrasound (US) examination. The control group (comparison group) was formed from patients comparable by sex and age. The participants of the study groups had a low propensity to use pharmaceuticals and refused to take medicines. Patients of the studied (main) group were submitted to manual-physical correction with effect, mainly, on the cervical spine by method A.Yu. Shishonina. The technique consists of two stages: 1) manual action to improve blood; 2) exercise to form a muscular corset to maintain the effect. Patients in the control group did not receive targeted therapy. All patients were analyzed daily blood pressure profile through daily 24-hour arterial pressure monitoring technique.

Results: As a result of the therapy, a reliable decrease in the mean daily systolic arterial pressure of 140.1±3.9 mm Hg was recorded up to 129.2±3.8 mm Hg (p<0.05), as well as day and night systolic arterial pressure. Verified reduction of variability of systolic and diastolic arterial pressure in the process of manual-physical correction, both during day and night. The reliable movement of the index of time of hypertension during the day is recorded only for systolic arterial pressure, which decreased from 43.0±3.4 to 24.1±2.5% (p<0.01). Also, after the course of manual-physical correction in patients of the studied group is recorded a reliably lower rate of morning diastolic arterial pressure rise, differing by 40% - with 9.7±1.1 mm Hg per hour to 5.5±1.3 mm Hg per hour (p<0.01) and systolic arterial pressure from 14.4±1.9 to 7.3±1.9 (p<0.01).

Conclusion: Manual-physical correction in patients with degenerative-dystrophic lesions of the spine, has a hypotensive effect on most known indicators of 24-hour arterial pressure monitoring arterial pressure monitoring.

[原发性动脉高血压患者手工和物理暴露于颈椎(石松碱法)的24小时动脉压监测动态]。
关于原发性动脉高血压的病因,最可能也是最具争议的假说之一是,由于各种原因,尤其是颈椎骨软骨病,颅内缺血导致动脉压力升高。当试图通过手工和物理作用对颈椎进行非药物诱导的动脉压校正时,每日动脉血压动态是有意义的。目的:评价原发性动脉性高血压患者接受非药物手法-颈椎物理作用(A.J.石松碱法)治疗后的每日动脉压动态变化。材料与方法:120例高血压前期或1度高血压患者(男性61例,女性59例,平均年龄59.3±8.5岁,女性59例,平均年龄59.8±8.2岁)(收缩期AD范围135 ~ 159 mm Hg,舒张期AD范围85 ~ 99 mm Hg),超声检查均有椎动脉血流受损迹象。对照组(对照组)由性别、年龄具有可比性的患者组成。研究小组的参与者使用药物的倾向较低,并且拒绝服药。研究(主)组患者采用A.Yu方法进行以颈椎为主的手-体矫正。Shishonina。该技术包括两个阶段:1)手动改善血液;2)锻炼形成肌肉束腹,保持效果。对照组患者不接受靶向治疗。通过每日24小时动脉压监测技术分析所有患者的每日血压特征。结果:经治疗后,平均每日收缩压从140.1±3.9 mm Hg降至129.2±3.8 mm Hg (ppppp)。结论:脊柱退行性营养不良病变患者的手工-物理矫治对大多数已知的24小时动脉压监测指标都有降压作用。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
59
期刊介绍: The journal deals with the study of the mechanism of a physiological and therapeutic effect of physical and health resort factors, methods and results of their employment, as well as with theoretical and practical problems involved in the use of exercise therapy in combined treatment of different diseases. The results of research and experience of using physical and health resort methods in medical practice and organization of physiotherapeutic and sanatorial and health resort service, book reviews on physiotherapy, health resort science and exercise therapy are published. Scientific life of allied specialities, proceedings of congresses, conferences, symposia (including foreign), the activity of republican and local societies, etc., are covered.
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