摘要标题：
chirrapic for Hyperition and for Hyperition and Hypertation and the andatuction：基础。
摘要来源：
acta bioMed。 2020 11 9; 91（13-S）：E2020017。 EPUB 2020 11月9日。PMID： 33170172 Paolacci, Aysha Karim Kiani, Matteo Bertelli
Article Affiliation:Stephanie Gb Sullivan
Abstract:BACKGROUND AND AIM: Hypertension is a multifactorial condition that is among the leading causes of mortality worldwide.血压的调节在很大程度上取决于自主神经系统的活性。自主神经系统的改变会导致高血压。除了神经系统EM控制和个体生理状态，各种基因可以直接影响自主神经反应。血压控制的复杂性反映在20-30％对传统药理治疗有抵抗力的个体中，这表明需要采取替代干预措施。 This article provides an integrative review and discussion of the key neurophysiologic and genetic factors that contribute to blood pressure regulation, the autonomic nervous system (ANS) and manual therapy literature, and the manual therapy and blood pressure literature.
METHODS: To assess the effects of chiropractic on the management of hypertension we使用关键字：脊骨疗法，脊柱操纵，高血压和血压。这分析了脊椎治疗对高血压的影响。 Of these studies, 10 were case reports and the statistical significance of the effects of chiropractic on blood pressure was not evaluated on these articles, so we focused on the remaining 28 articles.
CONCLUSIONS: The results of the review relative to chiropractic care were promising, but often contradictory, suggesting more research should be done.考虑到ANS血压控制的复杂性，建议对患者进行生理和遗传特征进行评估，并可以提供有价值的见解，相对于患者血压与护理相关的可能性相关。