Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Vasconcelos, Enilde Coutinho Rodrigues Sales
Orientador(a): Guimarães, Sérgio Botelho
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Não Informado pela instituição
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://www.repositorio.ufc.br/handle/riufc/40456
Resumo: The Hypertension is a major cause of death in Brazil, reaching its prevalence around 30% of the adult population. In the world, it is related to more than 7 million deaths a year and is considered the main risk factor for cardiovascular diseases and stroke. Acupuncture is a form of prevention and treatment that is part of the traditional Chinese medicine; it is a form of therapy that seeks treatment by applying stimuli through needles inserted into the skin at specific points called Acupoints, resulting in the release of several neurotransmitters with the purpose of balancing the Yin and Yang energies that are part of its theoretical foundation. Free radicals are highly reactive and unstable chemical species by the presence of an unpaired electron in the last layer. Naturally formed during the metabolic process, but causing unbalance when in excess, it can cause cell damage and various diseases. To evaluate the action of Ac in SAH and Oxidative Stress (OS), we conducted a prospective, controlled study, comparing two groups of hypertensive patients at the HUWC’s Cardiology Clinic, who were in use of antihypertensive drugs for at least two years . Each group consisted of ten patients analyzed for ten weeks; the first group received a weekly Ac session at specific points, who were already used in other studies for the treatment of hypertension. The second group wasn’t treated with Ac, only making use antihypertensive drugs. All twenty patients remained in the supine position for 30 minutes and underwent measurement of BP and bilateral radial pulse before and after they had rested. We used the dosages of Glutathione (GSH) and malondialdehyde (MDA) to evaluate the OS and laboratory tests of blood glucose, transaminases, urea and creatinine, to evaluate hepatic, renal and metabolic functions. The data was statistically analyzed by ANOVA / Dunnett and Kolmorogov tests, showing a p value of less than 0,05.. In this study there was no change in blood pressure levels of patients treated with Ac, according to the statistical method used. The measured pulse showed a decrease (p <0.01); there was no change of MDA levels measured by TBARS of patients undergoing treatment. There was an increase in GSH levels (p <0.05) and decreased levels of AST and urea; there was no change in blood glucose tests, ALT and Creatinine. This study showed in conclusion, that Ac exerted a protective effect on the OS, decreases hepatic and renal effects of hypertension and has also promoted the redution of the radial pulse. Keywords: Arterial hypertension. Acupuncture. Oxidative stress.
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spelling Vasconcelos, Enilde Coutinho Rodrigues SalesGuimarães, Sérgio Botelho2019-03-28T12:02:49Z2019-03-28T12:02:49Z2016-04-28VASCONCELOS, E. C. R. S. Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas. 2016. 118 f. Dissertação (Mestrado em Ciências Médico-Cirúrgicas) - Faculdade de Medicina, Universidade Federal do Ceará, 2016.http://www.repositorio.ufc.br/handle/riufc/40456The Hypertension is a major cause of death in Brazil, reaching its prevalence around 30% of the adult population. In the world, it is related to more than 7 million deaths a year and is considered the main risk factor for cardiovascular diseases and stroke. Acupuncture is a form of prevention and treatment that is part of the traditional Chinese medicine; it is a form of therapy that seeks treatment by applying stimuli through needles inserted into the skin at specific points called Acupoints, resulting in the release of several neurotransmitters with the purpose of balancing the Yin and Yang energies that are part of its theoretical foundation. Free radicals are highly reactive and unstable chemical species by the presence of an unpaired electron in the last layer. Naturally formed during the metabolic process, but causing unbalance when in excess, it can cause cell damage and various diseases. To evaluate the action of Ac in SAH and Oxidative Stress (OS), we conducted a prospective, controlled study, comparing two groups of hypertensive patients at the HUWC’s Cardiology Clinic, who were in use of antihypertensive drugs for at least two years . Each group consisted of ten patients analyzed for ten weeks; the first group received a weekly Ac session at specific points, who were already used in other studies for the treatment of hypertension. The second group wasn’t treated with Ac, only making use antihypertensive drugs. All twenty patients remained in the supine position for 30 minutes and underwent measurement of BP and bilateral radial pulse before and after they had rested. We used the dosages of Glutathione (GSH) and malondialdehyde (MDA) to evaluate the OS and laboratory tests of blood glucose, transaminases, urea and creatinine, to evaluate hepatic, renal and metabolic functions. The data was statistically analyzed by ANOVA / Dunnett and Kolmorogov tests, showing a p value of less than 0,05.. In this study there was no change in blood pressure levels of patients treated with Ac, according to the statistical method used. The measured pulse showed a decrease (p <0.01); there was no change of MDA levels measured by TBARS of patients undergoing treatment. There was an increase in GSH levels (p <0.05) and decreased levels of AST and urea; there was no change in blood glucose tests, ALT and Creatinine. This study showed in conclusion, that Ac exerted a protective effect on the OS, decreases hepatic and renal effects of hypertension and has also promoted the redution of the radial pulse. Keywords: Arterial hypertension. Acupuncture. Oxidative stress.A hipertensão é uma das maiores causas de mortalidade no Brasil, situando-se a sua prevalência em torno de 30% da população adulta. No mundo, está relacionada a mais de 7 milhões de mortes por ano e é considerada como o principal fator de risco para as doenças cardiovasculares. A acupuntura é uma modalidade de prevenção e tratamento que faz parte da medicina tradicional chinesa, sendo uma forma de terapia que busca o tratamento pela aplicação de estímulos através de agulhas inseridas na pele em pontos específicos chamados acupontos, resultando em liberação de diversos neurotransmissores com a finalidade de equilíbrio das energias Yin e Yang, que são o seu fundamento teórico. Os radicais livres são espécies químicas altamente reativas e instáveis pela presença de um ou mais elétrons desemparelhados em sua última camada. Formados naturalmente durante o processo metabólico, quando em excesso e desequilíbrio, podem causar danos celulares e várias doenças. Na presente pesquisa, foi analisada a ação da acupuntura em pacientes hipertensos que fazem uso de drogas anti- hipertensivas através da comparação entre dois (2) grupos de dez pacientes cada; o primeiro grupo recebeu acupuntura por dez semanas e o grupo controle permaneceu sem acupuntura, não havendo alteração nas medicações de ambos durante o período da pesquisa. Utilizaram-se as dosagens de glutationa e de T-BARS antes e depois do período do estudo, além da aferição semanal da Pressão Arterial de todos os vinte (20) pacientes no período. Os dados foram analisados estatisticamente. A significância estatística do tratamento por acupuntura foi avaliada pelos testes ANOVA/Dunnet e Kolmorogov com nível de significância de 5%. Como resultado, no presente estudo a acupuntura não alterou significativamente os níveis de malonaldeido (MDA) na plasma dos pacientes submetidos ao tratamento, apresentando, entretanto, aumento significativo (p<0,05) nos níveis de glutationa (GSH), bem como diminuição dos níveis de TGO e uréia, não alterando as concentrações de TGP, creatinina e glicemia. Com relação à pressão arterial sistólica (PAS), não se observou modificação dos níveis pressóricos dos pacientes tratados com acupuntura durante o estudo, mas o pulso aferido apresentou diminuição significativa (p<0,01) durante o período das dez semanas do estudo. Conclui-se que a acupuntura exerce efeito protetor sobre o estresse oxidativo, diminui os efeitos hepáticos e renais da hipertensão arterial sistêmica (HAS), bem como promove uma diminuição significativa do pulso radial.HipertensãoAcupunturaEstresse OxidativoEfeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivasModulatory effects of acupuncture on arterial hypertension, radial pulse and oxidative stress in patients taking antihypertensive drugsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufc.br/bitstream/riufc/40456/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52ORIGINAL2016_dis_ecrsvasconcelos.pdf2016_dis_ecrsvasconcelos.pdfapplication/pdf3153299http://repositorio.ufc.br/bitstream/riufc/40456/3/2016_dis_ecrsvasconcelos.pdf584fb484c4092cd0135a4fe9d441b48dMD53riufc/404562019-03-28 09:03:54.102oai:repositorio.ufc.br:riufc/40456Tk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2019-03-28T12:03:54Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.pt_BR.fl_str_mv Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
dc.title.en.pt_BR.fl_str_mv Modulatory effects of acupuncture on arterial hypertension, radial pulse and oxidative stress in patients taking antihypertensive drugs
title Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
spellingShingle Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
Vasconcelos, Enilde Coutinho Rodrigues Sales
Hipertensão
Acupuntura
Estresse Oxidativo
title_short Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
title_full Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
title_fullStr Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
title_full_unstemmed Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
title_sort Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas
author Vasconcelos, Enilde Coutinho Rodrigues Sales
author_facet Vasconcelos, Enilde Coutinho Rodrigues Sales
author_role author
dc.contributor.author.fl_str_mv Vasconcelos, Enilde Coutinho Rodrigues Sales
dc.contributor.advisor1.fl_str_mv Guimarães, Sérgio Botelho
contributor_str_mv Guimarães, Sérgio Botelho
dc.subject.por.fl_str_mv Hipertensão
Acupuntura
Estresse Oxidativo
topic Hipertensão
Acupuntura
Estresse Oxidativo
description The Hypertension is a major cause of death in Brazil, reaching its prevalence around 30% of the adult population. In the world, it is related to more than 7 million deaths a year and is considered the main risk factor for cardiovascular diseases and stroke. Acupuncture is a form of prevention and treatment that is part of the traditional Chinese medicine; it is a form of therapy that seeks treatment by applying stimuli through needles inserted into the skin at specific points called Acupoints, resulting in the release of several neurotransmitters with the purpose of balancing the Yin and Yang energies that are part of its theoretical foundation. Free radicals are highly reactive and unstable chemical species by the presence of an unpaired electron in the last layer. Naturally formed during the metabolic process, but causing unbalance when in excess, it can cause cell damage and various diseases. To evaluate the action of Ac in SAH and Oxidative Stress (OS), we conducted a prospective, controlled study, comparing two groups of hypertensive patients at the HUWC’s Cardiology Clinic, who were in use of antihypertensive drugs for at least two years . Each group consisted of ten patients analyzed for ten weeks; the first group received a weekly Ac session at specific points, who were already used in other studies for the treatment of hypertension. The second group wasn’t treated with Ac, only making use antihypertensive drugs. All twenty patients remained in the supine position for 30 minutes and underwent measurement of BP and bilateral radial pulse before and after they had rested. We used the dosages of Glutathione (GSH) and malondialdehyde (MDA) to evaluate the OS and laboratory tests of blood glucose, transaminases, urea and creatinine, to evaluate hepatic, renal and metabolic functions. The data was statistically analyzed by ANOVA / Dunnett and Kolmorogov tests, showing a p value of less than 0,05.. In this study there was no change in blood pressure levels of patients treated with Ac, according to the statistical method used. The measured pulse showed a decrease (p <0.01); there was no change of MDA levels measured by TBARS of patients undergoing treatment. There was an increase in GSH levels (p <0.05) and decreased levels of AST and urea; there was no change in blood glucose tests, ALT and Creatinine. This study showed in conclusion, that Ac exerted a protective effect on the OS, decreases hepatic and renal effects of hypertension and has also promoted the redution of the radial pulse. Keywords: Arterial hypertension. Acupuncture. Oxidative stress.
publishDate 2016
dc.date.issued.fl_str_mv 2016-04-28
dc.date.accessioned.fl_str_mv 2019-03-28T12:02:49Z
dc.date.available.fl_str_mv 2019-03-28T12:02:49Z
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dc.identifier.citation.fl_str_mv VASCONCELOS, E. C. R. S. Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas. 2016. 118 f. Dissertação (Mestrado em Ciências Médico-Cirúrgicas) - Faculdade de Medicina, Universidade Federal do Ceará, 2016.
dc.identifier.uri.fl_str_mv http://www.repositorio.ufc.br/handle/riufc/40456
identifier_str_mv VASCONCELOS, E. C. R. S. Efeitos modulatórios da acupuntura sobre a hipertensão arterial, o pulso radial e o estresse oxidativo em pacientes em uso de drogas anti-hipertensivas. 2016. 118 f. Dissertação (Mestrado em Ciências Médico-Cirúrgicas) - Faculdade de Medicina, Universidade Federal do Ceará, 2016.
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