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弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析
引用本文:蔡倩,张溪,荆纯祥,蔡书宾,郭明凯,李际强.弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析[J].中国康复理论与实践,2021,27(8):913-922.
作者姓名:蔡倩  张溪  荆纯祥  蔡书宾  郭明凯  李际强
作者单位:1.广州中医药大学第二附属医院老年呼吸科,广东广州市 5100062.广州中医药大学体育健康学院,广东广州市 510006
基金项目:广东省中医院中医药科学技术研究专项课题(YN2018QL09);广州中医药大学"青年英才培养工程"项目(QNYC20190109)
摘    要:目的 系统评价弹性抗阻运动(弹力带/弹力管)对慢性阻塞性肺疾病(COPD)患者康复疗效的影响。方法 检索Cochrane Library、PubMed、Web of Science、中国知网、维普、万方和生物医学文献数据库中关于弹性抗阻运动治疗COPD患者的临床随机对照试验,检索时限自建库至2020年9月。最后纳入文献11篇,其中英文9篇,中文2篇,共485例患者。采用Cochrane风险偏倚评估工具及物理治疗证据数据库量表进行质量评价,采用RevMan 5.2软件进行分析。这一系统评价在PROSPERO(CRD42020208659)上登记。结果 弹性抗阻运动组与传统抗阻运动组(如举重训练机、体重训练) 6 min步行试验距离(6WMD) (MD = 1.19, 95%CI -7.02~9.39, P = 0.78)、COPD患者自我评估测试(CAT) (MD = -0.43, 95%CI -2.42~1.57, P = 0.68)和肌力(MD = 0.23, 95%CI -1.06~1.52, P = 0.73)无显著性差异,两组间异质性不高。弹性抗阻运动组与非抗阻运动组6MWD (MD = 18.30, 95%CI -8.92~45.52, P = 0.19)和CAT (MD = -0.59, 95%CI -3.78~2.60, P = 0.72)无显著性差异,研究间异质性较高。结论 弹性抗阻运动也许是一种潜在的替代传统抗阻训练的方法,但弹性抗阻运动对运动耐力、生活质量、肺功能的影响尚不明确。

关 键 词:慢性阻塞性肺疾病  弹性抗阻运动  肺康复  meta分析  
收稿时间:2021-05-10

Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis
CAI Qian,ZHANG Xi,JING Chun-xiang,CAI Shu-bin,GUO Ming-kai,LI Ji-qiang.Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis[J].Chinese Journal of Rehabilitation Theory and Practice,2021,27(8):913-922.
Authors:CAI Qian  ZHANG Xi  JING Chun-xiang  CAI Shu-bin  GUO Ming-kai  LI Ji-qiang
Institution:1. Department of Geriatric Respiration, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, China2. School of Physical Education and Health, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, China
Abstract:Objective To systematically evaluate the effects of elastic resistance exercise on patients with chronic obstructive pulmonary disease (COPD). Methods Randomized clinical trials about elastic resistance exercise for chronic obstructive pulmonary disease were searched in the Cochrane Library, PubMed, Web of Science, CNKI, VIP, Wanfang Database and Chinese Biomedical Literature Database from inception to September, 2020. Finally, eleven literatures were included, including 9 in English and 2 in Chinese, with a total of 485 patients. The quality of the articles was evaluated using the Cochrane Library systematic review criteria and Physiotherapy Evidence Database Scale, and the data were analyzed with RevMan 5.2. The system review was registered on PROSPERO (CRD42020208659). Results There was no significant difference in 6 Minute Walking Distance (6WMD) (MD = 1.19, 95%CI -7.02 to 9.39, P = 0.78), COPD Assessment Test (CAT) (MD = -0.43, 95%CI -2.42 to 1.57, P = 0.68) and the muscle strength (MD = 0.23, 95%CI -1.06 to 1.52, P = 0.73), with no high heterogeneity, between elastic resistance exercise group and the conventional resistance exercise group (such as weight training machine, weight training). There was no significant difference in 6MWD (MD = 18.30, 95%CI -8.92 to 45.52, P = 0.19) and CAT (MD = 0.59, 95%CI -3.78 to 2.60, P = 0.72) between the elastic resistance exercise group and the non-resistance exercise group, however, the heterogeneity between them was high. Conclusion Elastic resistance exercise may be potentially alternative to conventional resistance training. However, the effects of elastic resistance exercise on exercise endurance, quality of life and lung function are still unclear.
Keywords:chronic obstructive pulmonary disease  elastic resistance exercise  pulmonary rehabilitation  meta-analysis  
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