高压氧治疗(HBOT)对高血压患者降压效果的影响

Karindra Amadea Susetiyo, Agus Subagjo, Primadita Syahbani, Iqlima Rahmawati, Ikhsanuddin Qothi
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引用次数: 0

摘要

高血压是包括印度尼西亚在内的世界范围内死亡的主要原因。世界卫生组织(WHO)估计,目前全球高血压患病率为22% (WHO, 2019)。2018年,印度尼西亚的高血压患病率达到34.11% (Riskesdas, 2018年)。据估计,每年有1040万人死于高血压(Unger et al., 2020)。高压氧治疗(Hyperbaric Oxygen Therapy, HBOT)是在高压室内进行纯氧浓度(100%)的治疗(Ortega et al., 2021)。在之前的研究中发现,HBOT可以改善血管扩张的效果(Mihaljevic et al., 2018)。然而,其他研究提到了不同的结果。研究发现,HBOT可引起血管收缩,增加全身血管阻力。这会导致亚硝酸盐氧化物(NO)的产生减少,并增加NO氧化(Goyal等,2021)。除了各种不同的研究结果外,HBOT的使用确实得到了广泛的研究,尽管在降压对高血压患者的影响上并没有找到一个明确的契合点。因此,笔者旨在更清楚地了解高压氧治疗高血压患者降压的机制和益处。
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Identification of The Effect of Hyberbaric Oxygen Therapy (HBOT) on Blood Pressure Lowering Effects in Hypertension Patients
Hypertension is a leading cause of death worldwide including in Indonesia. The World Health Organization (WHO) estimates that currently the global prevalence of hypertension is 22% (WHO, 2019). In 2018 the prevalence of hypertension in Indonesia reached 34,11% (Riskesdas, 2018). Every year, it is estimated that 10.4 million deaths are caused by hypertension (Unger et al., 2020). Hyperbaric Oxygen Therapy (HBOT) is a therapy with pure oxygen concentration (100%) in a high pressure room (Ortega et al., 2021). In previous studies it was found that HBOT improves the effects of vasodilation (Mihaljevic et al., 2018). However, other studies mention different results. It was found that HBOT initiates vasoconstriction and increases systemic vascular resistance. This causes a decrease in nitrite oxide (NO) production and increase NO oxidation (Goyal et al., 2021). Apart from a variety of different study results, the use of HBOT has indeed been widely studied even though it has not found a clear meeting point on the effects of blood pressure reduction on hypertension patients. Therefore, the author aims to find out more clearly the mechanism and benefits of hyperbaric oxygen therapy against decreased blood pressure in hypertension patients.           
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