摘要
目的:比较八段锦、太极拳、六字诀、龟形功、五禽戏、传统运动联合抗阻训练对慢性阻塞性肺疾病(COPD)病人肺功能及活动耐力的影响。方法:系统检索中国知网、万方数据库、中国生物医学文献数据库、维普数据库、PubMed、EMbase、Cochrane Library、Web of Science中与COPD运动相关的文献,检索时限为2010年1月1日—2022年4月1日。纳入文献由两名研究员独立筛选,并按照Cochrane系统评价手册进行质量评价,使用R 4.1和ADDIS软件进行网状Meta分析。结果:共纳入22篇文献,涉及1580例研究对象。网状Meta分析结果显示:与常规护理比较,八段锦、太极拳、龟形功、五禽戏以及联合抗阻运动均能改善COPD病人第1秒用力呼气容积占预计值百分比(FEV_(1)%),延长6 min步行距离(6WMT);五禽戏和联合抗阻运动能较好地改善第1秒用力呼气容积与用力肺活量的比值(FEV_(1)/FVC%)。最优概率结果显示:六字诀、五禽戏以及联合抗阻运动是改善COPD病人肺功能较好的中医传统功法;龟形功和联合抗阻运动对延长6WMT效果较好。结论:现有证据表明,中医传统功法可改善COPD病人的肺功能及运动耐力,临床医护人员可根据病人自身情况选择适合的训练方式。
Objective:To compare the effects of Ba Duan Jin,Tai Chi,Liu Zi Jue,Gui Xing Gong,Wu Qin Xi,and traditional exercise combined with resistance training on lung function and activity endurance in patients with chronic obstructive pulmonary disease(COPD).Methods:Literature related to COPD exercise was systematically searched retrieved in CNKI,WanFang Data,CBM,VIP,PubMed,EMbase,Cochrane Library,and Web of Science from January 1,2010 to April 1,2022.Two researchers independently screened the included literature,evaluated the quality using the Cochrane Manual for Systematic Reviews,and conducted network Meta-analysis using R 4.1 and ADDIS software.Results:A total of 22 articles were included,involving 1580 research subjects.The network Meta-analysis results showed that compared with the routine care,Ba Duan Jin,Tai Chi,Gui Xing Gong,Wu Qin Xi,and combined resistance exercise can improve the forced expiratory volume in 1 second percentage of predicted value(FEV_(1)%)level of COPD patients and prolong the 6 min walking distance(6WMT).Wu Qin Xi and combined resistance exercise can better improve the ratio of forced expiratory volume in 1 second to forced vital capacity(FEV_(1)/FVC%)level.Probability results indicated Liu Zi Jue,Wu Qin Xi,and combined resistance exercise are better for improving the lung function of COPD patients among the traditional Chinese medicine exercises.Gui Xing Gong and combined resistance exercise have a better effect on prolonging 6WMT.Conclusions:Existing evidence shows that traditional Chinese medicine exercises could improve the lung function and exercise tolerance of COPD patients.Clinicians should select appropriate training methods according to the patient's conditions.
作者
吴茜
罗晓庆
李琴
周锡鑫
冯杰
WU Qian;LUO Xiaoqing;LI Qin;ZHOU Xixin;FENG Jie(The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010 China)
出处
《循证护理》
2025年第17期3489-3497,共9页
Chinese Evidence-Based Nursing
基金
重庆医科大学附属第二医院护理骨干科研资助计划项目,编号:HL2023-09。
关键词
慢性阻塞性肺疾病
肺功能
中医传统功法
运动耐力
网状Meta分析
循证护理
chronic obstructive pulmonary disease
lung function
traditional Chinese medicine exercises
exercise tolerance
network Meta-analysis
evidence-based nursing
