八段锦对稳定期慢性阻塞性肺疾病患者肺康复影响Meta分析

摘要

Objective To evaluate the effect of Baduanjin exercise on lung function and exercise tolerance in patients with stable chronic obstructive pulmonary disease (COPD). Methods Through the retrieval of CNKI, CBM, Wanfang Database, VIP Database, PubMed, Springer and Cochrane library, in accordance with the evaluation criteria, randomized controlled trials (RCTs) on the influence of Baduanjin exercise on pulmonary rehabilitation in patients with COPD stable were searched. After the evaluation of the quality of the literatures, meta-analysis was conducted using RevMan 5.0 software. Results Nine randomized controlled trials were included. After baduanjin exercise, FEV1, FEV1%and FVC in intervention group were higher than those in control group and the differences were statistically significant (P<0.05). Difference of FEV1/FVC% levels in intervention group and control group indicated no statistical significance (P>0.05) but 6min walking distance in intervention group was longer than that in control group, which was statistically significant (P<0.05). Conclusion Baduanjin exercise can improve the lung function of patients with stable COPD and improve their exercise tolerance.%目的 评价八段锦对稳定期慢性阻塞性肺疾病患者肺功能、运动耐量的影响.方法 通过检索中国知网全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、中国科技期刊数据库(VIP)等中文数据库,PubMed、Springer、Cochrane图书馆等英文数据库,获取已公开发表并符合评价标准的有关八段锦对稳定期慢性阻塞性肺疾病患者肺康复影响的随机对照试验,经文献质量评价后,采用RevMan5.0进行Meta分析.结果 共纳入9篇随机对照试验研究.八段锦干预后,干预组肺功能各指标中第1秒用力肺活量、第1秒用力肺活量占预计值百分比、用力肺活量高于对照组,差异均有统计学意义(P<0.05),第1秒钟用力肺活量占用力肺活量的比值水平与对照组比较,差异无统计学意义(P>0.05);八段锦干预后,干预组6 min步行距离高于对照组,差异有统计学意义(P<0.05).结论 八段锦可改善稳定期慢性阻塞性肺疾病患者肺功能,提高患者运动耐量.