Abstract
The impact of hyperbaric oxygen therapy on blood pressure: mechanism, evidence and rehabilitation significance
  
DOI:10.3870/zgkf.2026.08.010
EN KeyWords: hyperbaric oxygen therapy  blood pressure  vasoconstriction  rehabilitation treatment  cardiovascular effect
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作者单位
陈华 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
梁悦 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
杨一涵 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
王晓玉 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
苑娇娇 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
孙林 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
倪广晓 河北省人民医院重症康复科高压氧治疗室,石家庄050051 
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EN Abstract:
  Hyperbaric oxygen therapy increases the partial pressure of oxygen in tissues by inhaling high-concentration oxygen and is widely used in the rehabilitation treatment of ischemic and hypoxic diseases. During hyperbaric oxygen therapy, the hyperoxic environment can induce systemic vasoconstriction, bradycardia and decreased cardiac output, thereby causing blood pressure fluctuations. This article systematically expounds the physiological mechanisms by which hyperbaric oxygen therapy affects blood pressure, including the regulation of vascular endothelial function mediated by nitric oxide, changes in the balance of sympathetic and vagus nerves, and the activation of the baroreflex. It summarizes the characteristics and magnitudes of blood pressure changes in clinical studies, analyzes the differences in responses between hypertensive patients and non-hypertensive individuals, explores the modifying effects of different antihypertensive drugs on the impact of hyperbaric oxygen therapy on blood pressure, and sorts out the blood pressure response characteristics of special populations such as chronic kidney disease patients. On this basis, it also elaborates on the clinical significance of the blood pressure effects of hyperbaric oxygen therapy and its application value in rehabilitation medicine, providing a basis for the optimization of clinical treatment plans and the formulation of blood pressure management strategies.
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