携帯型自動血圧計による高血圧症の病態とその診断・治療へのアプローチ : 特に自律訓練法による血圧への影響(心身症の発症機序・病態に応じた新たな治療技法の展開)

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The effects of autogenic training(AT), which was performed 3 times a day, on blood pressure (BP) and heart rate (HR) were studied. Ambulatory BP and HR were monitored at 30-minute intervals for 24 hours in 2 hypertensives (with white coat phenomenon) and 3 white coat hypertensives with anxiety, their ages ranging from 48 to 64. The following patients were calculated averaged BP and HR values for the nighttime period (00 : 00-06 : 00), the daytime period (10 : 00-20 : 00) and the 24-hour period (00 : 00-24 : 00). Averaged systolic BP (SBP) for the daytime period decreased significantly from 147.7±4.4 mmHg to 132.7±5.7 mmHg after performing AT (p<0.05). And averaged SBP for 24-hour period decreased from 140.1±8.9 mmHg to 133.2±7.9 mmHg (p<0.05). On the other hand, SBP for the night time did not decrease significantly. Averaged diastolic BP (DBP) decreased for the daytime period (from 86.7±3.7 mmHg) and for the 24-hour period (from 81.1±2.8 to 77.9±3.4 mmHg) significantly. The same tendency was seen in averaged SBP (p<0.05). However, HR did not change for the nighttime, the daitime and the 24-hour period after performing AT. In a 48-year-old hypertensive women, BP and HR were monitored for 50 days. A cosine fitting technique using the least-square method was employed to determine the circadian rhythm of BP and HR in this patient. Both SBP and DBP decreased after performing AT for 4 weeks. The circadian midline estimating statistic of rhythm (MESOR) for the BP decreased after performing AT for three days in a longitudinally monitored patient. This patient showed a decrease of 10 mmHg in the MESOR for SBP after performing AT for 4 weeks. These results suggest that AT is a useful method for controlling and preventing hypertension.
日本心身医学会の論文
1995-01-01

携帯型自動血圧計による高血圧症の病態とその診断・治療へのアプローチ : 特に自律訓練法による血圧への影響(心身症の発症機序・病態に応じた新たな治療技法の展開)

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