BACKGROUND： Chronic obstructive pulmonary disease （COPD） is a major public health problem worldwide. Pulmonary rehabilitation （PR） is an established intervention for the management of patients with COPD. Exercise...BACKGROUND： Chronic obstructive pulmonary disease （COPD） is a major public health problem worldwide. Pulmonary rehabilitation （PR） is an established intervention for the management of patients with COPD. Exercise training is an important part of PR, and its effectiveness in patients with COPD is well established. However, alternative methods of PR training such as Daoyin have not been appropriately studied. Hence, alternative forms of exercise training that require less exercise equipment and no specific training place should be evaluated. This paper describes the study protocol of a clinical trial that aims to determine if pulmonary Daoyin training will improve the exercise capacity and psychosocial function of patients with COPD in China. METHODS AND DESIGN： A multicenter, randomized, controlled trial will be conducted. A total of 464 patients meeting the inclusion criteria will be enrolled into this study with 232 patients in each of the trial group and the control group. Based on patient education, patients in the trial group will receive pulmonary Daoyin and continue with their usual therapy for three months. In the control group, patients will continue with their usual therapy. The primary outcome measures are exercise capacity assessed by the six-minute walking distance test and lung function. Secondary outcomes include dyspnea and quality of life. Measurements will be taken at baseline （month 0） and after the study period （month 3）. DISCUSSION： It is hypothesized that pulmonary Daoyin will have beneficial effects in improving exercise capacity and psychosocial function of patients with stable COPD, and will provide an alternative form of exercise training that is accessible for the large number of people with COPD. TRIAL REGISTRATION： This trial has been registered in ClinicalTrials.gov. The identifier is NCT01482000.展开更多
OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke pat...OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke patients meeting the specified criteria were randomly assigned to one of four groups using a random number table: Control group, Daoyin group, lower limb robot group(LLR group), and Daoyin and lower limb robot group(DLLR group). Each group received distinct treatments based on conventional rehabilitation training.The treatment duration spanned two weeks with two days of rest per week. Pre-and post-intervention assessments included various scales: Fugl-Meyer Assessment(FMA),Berg balance scale(BBS), Barthel index(BI), Fatigue Scale-14(FS-14), Pittsburgh sleep quality index(PSQI),Hamilton Anxiety Scale(HAMA), and Hamilton Depression Scale(HAMD).RESULTS: Statistically significant differences were observed in the lower limb function measured by FAM between the Control group(15 ± 5) and the DLLR group(18 ± 5)(P = 0.049). In the Barthel index, a statistically significant difference was noted between the Control group(54 ± 18) and the DLLR group(64 ± 11)(P = 0.041).Additionally, significant differences were found in the Berg balance scale between the Control group(21 ± 10)and the DLLR group(27 ± 8)(P = 0.024), as well as between the Control group(21 ± 10) and the LLR group(26 ± 10)(P = 0.048).CONCLUSION: The findings of this study suggest that the combined use of Daoyin and robotics not only enhances motor function in stroke patients but also has a positive impact on fatigue, sleep quality, and mood. This approach may offer a more effective rehabilitation strategy for stroke patients.展开更多
Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order ...Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order to recover the motor function after CNS injury, observe its clinical effect and explore its mechanism. Methods: The potential of CNS was induced by six-step Daoyin technique of Chinese medicine, and the potential signal was received in real time by bio-electrical signal receiving equipment and displayed in curve form. Combined with the Operant conditioning biofeedback technique, targeted guidance was given to patients to continuously enhance the action muscle signal intensity and weaken the antagonistic muscle signal intensity, so that the motor program was gradually re-established. Sixty-four patients with hemiplegic elbow dysfunction of old cerebral infarction who had been trained but could not be improved further and had a history of more than 1 year were treated for one course, 90 times and 45 minutes each time. Lovett, Elbow Rom, Fugl-Meyer, program signal intensity and proportion were evaluated before and after treatment. The data were analyzed statistically. Before and after treatment, Lovett MMT, ROM of elbow joint, Fugl Meyer, motor program signal intensity and proportion were assessed, and the data were statistically analyzed. Results: After treatment and before treatment, there was a significant difference between the functional evaluation data (P < 0.01). The function of elbow joint was improved;this is the result of reconstructing the motor program on the basis of developing the potential of CNS by means of the “transcendental goal power” mechanism of the method. There was no recurrence after 6 months of follow-up. Conclusion: The Chinese Medicine Daoyin feedback rehabilitation technique is an effective method to improve elbow joint function of hemiplegia patients with cerebral infarction.展开更多
Now,daoyin has developed into a complete set of conventional movement patterns,such as Baduanjin,Yijinjing,and Wuqinxi.However,the original meaning and the connotation of daoyin is ignored by people gradually,which wi...Now,daoyin has developed into a complete set of conventional movement patterns,such as Baduanjin,Yijinjing,and Wuqinxi.However,the original meaning and the connotation of daoyin is ignored by people gradually,which will hinder the development of daoyin and make the specific application difficult.In this article,we will explore the basic composition of the daoyin–“movement”and its intrinsic basis–“essential qi”to think about the original meaning and connotation of daoyin.展开更多
Objective: The aim of this study was to improve the Chinese Daoyin technique (physical and breathing exercises), which is an ancient rehabilitation method, to elevate its effect and to standardize its operational proc...Objective: The aim of this study was to improve the Chinese Daoyin technique (physical and breathing exercises), which is an ancient rehabilitation method, to elevate its effect and to standardize its operational procedure. Methods: Based on the ancient Chinese Daoyin technique, a six-step method was developed including: 1) motion imagination and imitation;2) mental and breathing regulation;3) target point determination;4) motion percussion;5) motion persistence;6) relaxation. Sixty drop-foot patients who suffered from hemiparesis after a stroke were randomly divided into the experimental group and the control group. Functional evaluation including Fugl-Meyer assessment score, Lovett manual muscle test (MMT), active range of motion of the ankle joint and electromyography were performed before and after the training course. The data were analyzed using the statistical software SPSS 12.0. Results: The differences between the two groups were significant. The effectiveness of the six-step group was significantly better than the effectiveness of the control group. Conclusion: The six-step method of the Chinese Daoyin technique is an effective rehabilitation training method for drop-foot in stroke patients with hemiparesis.展开更多
Objective:Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological state of sufferers with chronic obstructive pulmonary disease(COPD)and bolste...Objective:Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological state of sufferers with chronic obstructive pulmonary disease(COPD)and bolster the quality of life.However,the results are not consistent.Thus,the objective of this research is to assess the impacts of pulmonary Daoyin in individuals with COPD.Methods:Relevant articles were searched in Web of Science,Cochrane Library,PubMed,EMBASE,SinoMed,CNKI,Wanfang,and VIP from database inception to January 2024.Results:There were a total of 15 randomized controlled trials(RCTs)included in this meta-analysis involving 1732 patients,of which 864 participated in the intervention group and 868 in the control group.When comparing with the control group,the COPD patients practicing pulmonary Daoyin demonstrated a significant improvement in 6 min walking distance(mean difference[MD]=24.53,95%confidence interval[CI][18.55,30.52],P<0.00001),forced expiratory volume in the 1 s(FEV_(1))(MD=0.39,95%CI[0.18,0.59],P=0.0002),percentage of FEV_(1)to the predicted value(FEV_(1)%)(MD=5.35,95%CI[3.22,7.48],P<0.0001),the forced vital capacity(FVC)(MD=0.39,95%CI[0.06,0.73],P=0.02),percentage of FVC to the predicted value(FVC%)(MD=7.52,95%CI[4.91,10.13],P<0.00001),the ratio of FEV_(1)/FVC(MD=4.95,95%CI[0.91,8.99],P=0.02),peak expiratory flow rate(standardized MD=0.98,95%CI[0.74,1.22],P<0.00001),modified Medical Research Council(mMRC)scale(MD=-0.47,95%CI[-0.89,-0.04],P=0.03),and Borg scale(MD=-0.65,95%CI[-0.75,-0.55],P<0.00001).Conclusions:Our findings may illuminate the influence of pulmonary Daoyin on exercise ability,breathlessness,and pulmonary function in COPD patients.More rigorous RCTs with larger samples and longer-term interventions will be required moving forward.展开更多
China’s“24 Solar Terms”,known as the fifth invention after China’s hour Major Inventions,is a knowledge system and social practice formed through observations of the sun’s annual motion,and cognition of the year...China’s“24 Solar Terms”,known as the fifth invention after China’s hour Major Inventions,is a knowledge system and social practice formed through observations of the sun’s annual motion,and cognition of the year’s changes in season,climate and phenology.More and more people in the world have been eager to know more about it since UNESCO inscribed Chinas“24 Solar Terms”on the Representative List of the Intangible Cultural Heritage of Humanity in 2016.As a way of nurturing life,the Illustrated Daoyin of the 24 Solar Terms includes twenty-four exercise forms,corresponding to the 24 solar terms respectively,which reflects the significant idea of complying with the law of yin-yang changes in the universe.It presents a series of sitting and standing exercises designed to prevent diseases that occur during seasonal changes throughout the year.The ancient Chinese wisdom of time and life nurturing has been witnessed in China’s“24 Solar Terms”and“Illustrated Daoyin of the 24 Solar Terms”This article aims to arouse readers’concern and interest in life nurturing by introducing how to do all the exercises presented by the Illustrated Daoyin of the 24 Solar Terms,which is helpful to the prevention and cure of diseases as well as good for health.展开更多
Objective:To observe the clinical efficacy of Daoyin method with acupuncture on belt vessel type lumbago,and to evaluate the effectiveness of the method.Methods:A total of 54 patients with belt vessel type lumbago who...Objective:To observe the clinical efficacy of Daoyin method with acupuncture on belt vessel type lumbago,and to evaluate the effectiveness of the method.Methods:A total of 54 patients with belt vessel type lumbago who met the inclusion criteria were randomly divided into two groups,with 27 patients in both groups.Patients in the treatment group were treated by Daoyin with acupuncture on the belt vessel,patients in the control group only received acupuncture on the belt vessel.The visual analogue scale,JOA score,ODI score,and SBI score before and after treatment were observed.Results:There were significant differences in the score changes in both groups before and after treatment,and the difference between the treatment group and the control group was significant.The therapeutic effect in the treatment group is better than the control group.Daoyin with acupuncture has a better effect on belt vessel type lumbago.展开更多
Daoyin and yoga,carriers of cultural exchange between China and India,provide opportunities for the two peoples to jointly explore healthy lifestyles and promote spiritual growth while showcasing the unique charm and ...Daoyin and yoga,carriers of cultural exchange between China and India,provide opportunities for the two peoples to jointly explore healthy lifestyles and promote spiritual growth while showcasing the unique charm and profound heritage of Chinese and Indian cultures.展开更多
目的:运用网状Meta分析方法评价中医导引术对肺癌患者的临床干预效果。方法:计算机检索中国知网、万方数据知识服务平台、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Cochrane Library、Embase、Web of Science,检索时间...目的:运用网状Meta分析方法评价中医导引术对肺癌患者的临床干预效果。方法:计算机检索中国知网、万方数据知识服务平台、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Cochrane Library、Embase、Web of Science,检索时间范围从各数据库建库至2025年5月6日。采用Cochrane手册推荐的偏倚风险评价工具(ROB)对纳入研究进行偏倚风险评价。结果:共纳入24项随机对照试验(RCTs),涉及1935例肺癌患者。ROB评价结果表明大多数纳入的RCTs质量等级较低。网状Meta分析结果显示,与常规治疗(包括常规护理、运动等)相比:(1)肺功能用力肺活量(FVC)提升方面,中医外治(耳穴贴压或穴位贴敷)+八段锦干预效果最优[累计排序曲线下面积(SUCRA)73.7%];(2)肺功能第一秒用力呼气量(FEV_(1))提升方面,单纯八段锦干预效果最优(SUCRA:71.2%);(3)肺功能FEV_(1)/FVC提升方面,单纯六字诀干预效果最优(SUCRA:82.2%);(4)活动耐量6 min步行距离(6MWD)提升方面,五禽戏+基于中医辨证的中医适宜技术(穴位按摩+辨证施膳+情志干预)干预效果最优(SUCRA:78.9%)。亚组分析显示:(1)无论肺癌患者接受放化疗与否、干预时间长或短,八段锦均具有良好的干预效果;(2)在放化疗期间或干预时间较短的情况下,采用五禽戏+基于中医辨证的中医适宜技术的干预效果更佳。结论:中医导引术对肺癌患者肺功能FVC、FEV_(1)干预效果最佳的是八段锦;对肺功能FEV_(1)/FVC干预效果最佳的是六字诀;活动耐量6MWD方面,五禽戏对肺癌患者起到了最积极的干预作用。放化疗期间推荐采用五禽戏以提高干预效果,并鼓励患者在日常康复过程中坚持使用八段锦等导引术。然而,未来需要开展更多高质量的研究以进一步验证该结论。展开更多
基金supported by 2011 Special Fund for TCM-scientific Research in the Public Interest of Ministry of Finance, People’s Republic of ChinaState Administration of Traditional Chinese Medicine (No. 201107002)
文摘BACKGROUND： Chronic obstructive pulmonary disease （COPD） is a major public health problem worldwide. Pulmonary rehabilitation （PR） is an established intervention for the management of patients with COPD. Exercise training is an important part of PR, and its effectiveness in patients with COPD is well established. However, alternative methods of PR training such as Daoyin have not been appropriately studied. Hence, alternative forms of exercise training that require less exercise equipment and no specific training place should be evaluated. This paper describes the study protocol of a clinical trial that aims to determine if pulmonary Daoyin training will improve the exercise capacity and psychosocial function of patients with COPD in China. METHODS AND DESIGN： A multicenter, randomized, controlled trial will be conducted. A total of 464 patients meeting the inclusion criteria will be enrolled into this study with 232 patients in each of the trial group and the control group. Based on patient education, patients in the trial group will receive pulmonary Daoyin and continue with their usual therapy for three months. In the control group, patients will continue with their usual therapy. The primary outcome measures are exercise capacity assessed by the six-minute walking distance test and lung function. Secondary outcomes include dyspnea and quality of life. Measurements will be taken at baseline （month 0） and after the study period （month 3）. DISCUSSION： It is hypothesized that pulmonary Daoyin will have beneficial effects in improving exercise capacity and psychosocial function of patients with stable COPD, and will provide an alternative form of exercise training that is accessible for the large number of people with COPD. TRIAL REGISTRATION： This trial has been registered in ClinicalTrials.gov. The identifier is NCT01482000.
基金Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences:Study on the Scheme of Combining Brain Regulation and Training Techniques with Traditional Chinese Medicine Acupuncture Treatment for Hand Dysfunction After Stroke (CI2021A03010)The 13th Five-Year Project of China Academy of Chinese Medical Sciences:Studying on the Innovative Treatment of Limb Dysfunction after Stroke-Traditional Chinese Medicine Daoyin Combined with Lower Limb Robot Technology (ZZ10-015)。
文摘OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke patients meeting the specified criteria were randomly assigned to one of four groups using a random number table: Control group, Daoyin group, lower limb robot group(LLR group), and Daoyin and lower limb robot group(DLLR group). Each group received distinct treatments based on conventional rehabilitation training.The treatment duration spanned two weeks with two days of rest per week. Pre-and post-intervention assessments included various scales: Fugl-Meyer Assessment(FMA),Berg balance scale(BBS), Barthel index(BI), Fatigue Scale-14(FS-14), Pittsburgh sleep quality index(PSQI),Hamilton Anxiety Scale(HAMA), and Hamilton Depression Scale(HAMD).RESULTS: Statistically significant differences were observed in the lower limb function measured by FAM between the Control group(15 ± 5) and the DLLR group(18 ± 5)(P = 0.049). In the Barthel index, a statistically significant difference was noted between the Control group(54 ± 18) and the DLLR group(64 ± 11)(P = 0.041).Additionally, significant differences were found in the Berg balance scale between the Control group(21 ± 10)and the DLLR group(27 ± 8)(P = 0.024), as well as between the Control group(21 ± 10) and the LLR group(26 ± 10)(P = 0.048).CONCLUSION: The findings of this study suggest that the combined use of Daoyin and robotics not only enhances motor function in stroke patients but also has a positive impact on fatigue, sleep quality, and mood. This approach may offer a more effective rehabilitation strategy for stroke patients.
文摘Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order to recover the motor function after CNS injury, observe its clinical effect and explore its mechanism. Methods: The potential of CNS was induced by six-step Daoyin technique of Chinese medicine, and the potential signal was received in real time by bio-electrical signal receiving equipment and displayed in curve form. Combined with the Operant conditioning biofeedback technique, targeted guidance was given to patients to continuously enhance the action muscle signal intensity and weaken the antagonistic muscle signal intensity, so that the motor program was gradually re-established. Sixty-four patients with hemiplegic elbow dysfunction of old cerebral infarction who had been trained but could not be improved further and had a history of more than 1 year were treated for one course, 90 times and 45 minutes each time. Lovett, Elbow Rom, Fugl-Meyer, program signal intensity and proportion were evaluated before and after treatment. The data were analyzed statistically. Before and after treatment, Lovett MMT, ROM of elbow joint, Fugl Meyer, motor program signal intensity and proportion were assessed, and the data were statistically analyzed. Results: After treatment and before treatment, there was a significant difference between the functional evaluation data (P < 0.01). The function of elbow joint was improved;this is the result of reconstructing the motor program on the basis of developing the potential of CNS by means of the “transcendental goal power” mechanism of the method. There was no recurrence after 6 months of follow-up. Conclusion: The Chinese Medicine Daoyin feedback rehabilitation technique is an effective method to improve elbow joint function of hemiplegia patients with cerebral infarction.
基金This is a budget Project of Shanghai Municipal Education Commission(2016YSN77).
文摘Now,daoyin has developed into a complete set of conventional movement patterns,such as Baduanjin,Yijinjing,and Wuqinxi.However,the original meaning and the connotation of daoyin is ignored by people gradually,which will hinder the development of daoyin and make the specific application difficult.In this article,we will explore the basic composition of the daoyin–“movement”and its intrinsic basis–“essential qi”to think about the original meaning and connotation of daoyin.
文摘Objective: The aim of this study was to improve the Chinese Daoyin technique (physical and breathing exercises), which is an ancient rehabilitation method, to elevate its effect and to standardize its operational procedure. Methods: Based on the ancient Chinese Daoyin technique, a six-step method was developed including: 1) motion imagination and imitation;2) mental and breathing regulation;3) target point determination;4) motion percussion;5) motion persistence;6) relaxation. Sixty drop-foot patients who suffered from hemiparesis after a stroke were randomly divided into the experimental group and the control group. Functional evaluation including Fugl-Meyer assessment score, Lovett manual muscle test (MMT), active range of motion of the ankle joint and electromyography were performed before and after the training course. The data were analyzed using the statistical software SPSS 12.0. Results: The differences between the two groups were significant. The effectiveness of the six-step group was significantly better than the effectiveness of the control group. Conclusion: The six-step method of the Chinese Daoyin technique is an effective rehabilitation training method for drop-foot in stroke patients with hemiparesis.
基金This research was funded by the Traditional Chinese Medicine Appropriate Technology Development and Promotion Project of Guangxi province(GZSY23-41)the Administration of Traditional Chinese Medicine of Guangxi Self-funded Research Projects(GXZYA20230107)the Administration of Traditional Chinese Medicine of Guangxi Self-funded Research Projects(GXZYA20220095).
文摘Objective:Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological state of sufferers with chronic obstructive pulmonary disease(COPD)and bolster the quality of life.However,the results are not consistent.Thus,the objective of this research is to assess the impacts of pulmonary Daoyin in individuals with COPD.Methods:Relevant articles were searched in Web of Science,Cochrane Library,PubMed,EMBASE,SinoMed,CNKI,Wanfang,and VIP from database inception to January 2024.Results:There were a total of 15 randomized controlled trials(RCTs)included in this meta-analysis involving 1732 patients,of which 864 participated in the intervention group and 868 in the control group.When comparing with the control group,the COPD patients practicing pulmonary Daoyin demonstrated a significant improvement in 6 min walking distance(mean difference[MD]=24.53,95%confidence interval[CI][18.55,30.52],P<0.00001),forced expiratory volume in the 1 s(FEV_(1))(MD=0.39,95%CI[0.18,0.59],P=0.0002),percentage of FEV_(1)to the predicted value(FEV_(1)%)(MD=5.35,95%CI[3.22,7.48],P<0.0001),the forced vital capacity(FVC)(MD=0.39,95%CI[0.06,0.73],P=0.02),percentage of FVC to the predicted value(FVC%)(MD=7.52,95%CI[4.91,10.13],P<0.00001),the ratio of FEV_(1)/FVC(MD=4.95,95%CI[0.91,8.99],P=0.02),peak expiratory flow rate(standardized MD=0.98,95%CI[0.74,1.22],P<0.00001),modified Medical Research Council(mMRC)scale(MD=-0.47,95%CI[-0.89,-0.04],P=0.03),and Borg scale(MD=-0.65,95%CI[-0.75,-0.55],P<0.00001).Conclusions:Our findings may illuminate the influence of pulmonary Daoyin on exercise ability,breathlessness,and pulmonary function in COPD patients.More rigorous RCTs with larger samples and longer-term interventions will be required moving forward.
基金Research Base Projects of Beijing Social Science Foundation(No.17JDYYB002)。
文摘China’s“24 Solar Terms”,known as the fifth invention after China’s hour Major Inventions,is a knowledge system and social practice formed through observations of the sun’s annual motion,and cognition of the year’s changes in season,climate and phenology.More and more people in the world have been eager to know more about it since UNESCO inscribed Chinas“24 Solar Terms”on the Representative List of the Intangible Cultural Heritage of Humanity in 2016.As a way of nurturing life,the Illustrated Daoyin of the 24 Solar Terms includes twenty-four exercise forms,corresponding to the 24 solar terms respectively,which reflects the significant idea of complying with the law of yin-yang changes in the universe.It presents a series of sitting and standing exercises designed to prevent diseases that occur during seasonal changes throughout the year.The ancient Chinese wisdom of time and life nurturing has been witnessed in China’s“24 Solar Terms”and“Illustrated Daoyin of the 24 Solar Terms”This article aims to arouse readers’concern and interest in life nurturing by introducing how to do all the exercises presented by the Illustrated Daoyin of the 24 Solar Terms,which is helpful to the prevention and cure of diseases as well as good for health.
基金Beijing Tongzhou District High-level Talent Development Support Plan(YHLD2017018)。
文摘Objective:To observe the clinical efficacy of Daoyin method with acupuncture on belt vessel type lumbago,and to evaluate the effectiveness of the method.Methods:A total of 54 patients with belt vessel type lumbago who met the inclusion criteria were randomly divided into two groups,with 27 patients in both groups.Patients in the treatment group were treated by Daoyin with acupuncture on the belt vessel,patients in the control group only received acupuncture on the belt vessel.The visual analogue scale,JOA score,ODI score,and SBI score before and after treatment were observed.Results:There were significant differences in the score changes in both groups before and after treatment,and the difference between the treatment group and the control group was significant.The therapeutic effect in the treatment group is better than the control group.Daoyin with acupuncture has a better effect on belt vessel type lumbago.
文摘Daoyin and yoga,carriers of cultural exchange between China and India,provide opportunities for the two peoples to jointly explore healthy lifestyles and promote spiritual growth while showcasing the unique charm and profound heritage of Chinese and Indian cultures.
文摘目的:运用网状Meta分析方法评价中医导引术对肺癌患者的临床干预效果。方法:计算机检索中国知网、万方数据知识服务平台、维普中文期刊服务平台、中国生物医学文献数据库、PubMed、Cochrane Library、Embase、Web of Science,检索时间范围从各数据库建库至2025年5月6日。采用Cochrane手册推荐的偏倚风险评价工具(ROB)对纳入研究进行偏倚风险评价。结果:共纳入24项随机对照试验(RCTs),涉及1935例肺癌患者。ROB评价结果表明大多数纳入的RCTs质量等级较低。网状Meta分析结果显示,与常规治疗(包括常规护理、运动等)相比:(1)肺功能用力肺活量(FVC)提升方面,中医外治(耳穴贴压或穴位贴敷)+八段锦干预效果最优[累计排序曲线下面积(SUCRA)73.7%];(2)肺功能第一秒用力呼气量(FEV_(1))提升方面,单纯八段锦干预效果最优(SUCRA:71.2%);(3)肺功能FEV_(1)/FVC提升方面,单纯六字诀干预效果最优(SUCRA:82.2%);(4)活动耐量6 min步行距离(6MWD)提升方面,五禽戏+基于中医辨证的中医适宜技术(穴位按摩+辨证施膳+情志干预)干预效果最优(SUCRA:78.9%)。亚组分析显示:(1)无论肺癌患者接受放化疗与否、干预时间长或短,八段锦均具有良好的干预效果;(2)在放化疗期间或干预时间较短的情况下,采用五禽戏+基于中医辨证的中医适宜技术的干预效果更佳。结论:中医导引术对肺癌患者肺功能FVC、FEV_(1)干预效果最佳的是八段锦;对肺功能FEV_(1)/FVC干预效果最佳的是六字诀;活动耐量6MWD方面,五禽戏对肺癌患者起到了最积极的干预作用。放化疗期间推荐采用五禽戏以提高干预效果,并鼓励患者在日常康复过程中坚持使用八段锦等导引术。然而,未来需要开展更多高质量的研究以进一步验证该结论。
