运动康复训练对慢性心力衰竭患者生活质量影响的系统评价

 目的 系统评价运动康复训练对慢性心力衰竭患者生活质量的影响。方法 检索PubMed、Embase、CNKI、CMB、Cochrane Library、万方数据库建库至2020年6月关于运动康复训练对慢性心力衰竭患者生活质量影响的随机对照试验研究。结果 共纳入文献11 篇,合计样本量424例,Meta分析结果显示,与仅进行日常生活活动的对照组比较,接受运动康复训练的试验组干预后生活质量评分MLHF优于对照组SMD=-0.40,95%CI(-0.86,0.06),Z=1.71,P=0.09],峰值摄氧量PeakVO₂高于对照组MD=2.80,95%CI(0.87,4.72),Z=2.84,P=0.005],6 min步行试验(6MWD)高于对照组MD=51.24,95%CI(16.06,86.38),Z=2.86,P=0.004],差异有统计学意义。结论 基于运动的康复训练可以提高慢性心力衰竭患者生活质量评分,改善峰值摄氧量,增加6 min步行试验距离。

Effect of exercise-based rehabilitation training on quality of life of patients with chronic heart failure: a systematic review

Objective To systematically evaluate the effect of exercise-based rehabilitation training on the quality of life of patients with chronic heart failure.Methods PubMed, Embase, CNKI, CMB, Cochrane Library and Wanfang database were searched for randomized controlled trials associated with the effect of exercise-based rehabilitation training on the quality of life of patients with chronic heart failure published between inception and June 2020.Results A total of 11 trials were included that involved 424 cases. The results of meta-analysis showed that the life quality score of the experimental group was better than that of the control group SMD=-0.40,95% CI-0.86,0.06),Z=1.71,P=0.09], and that the PeakVO₂ was significantly higher than that of the control group MD=2.80, 95% CI (0.87, 4.72),Z=2.84,P=0.005], so was the 6MWD MD=51.24,95%CI(16.06,86.38),Z=2.86,P=0.004].Conclusions Exercise-based rehabilitation training can improve the life quality of patients with chronic heart failure.