健身气功干预糖尿病有效性及安全性的系统评价再评价

目的对健身气功干预糖尿病有效性及安全性的系统评价进行再评价。方法计算机检索PubMed、EMbase、Cochrane Library、CINAHL、CNKI、CBM、WanFang Data和VIP数据库,收集健身气功(八段锦、太极、五禽戏等)干预糖尿病的系统评价和Meta分析。2位研究者独立进行文献筛选、资料提取,分别采用AMSTAR量表及GRADE系统对纳入研究进行方法学质量和证据等级评价。结果最终纳入7篇系统评价/Meta分析。AMSTAR评价结果显示,仅3篇文献为高质量。GRADE证据质量评价显示,仅4个结局指标证据质量为中,其余均为低或极低。其中2篇系统评价显示健身气功安全性好,无不良反应。结论目前健身气功对糖尿病患者干预效果系统评价的方法学质量总体不高,结论的证据水平普遍较低。健身气功具有较好的安全性,可作为糖尿病患者临床辅助治疗措施,但其有效性仍需要大样本、高质量的研究进一步探讨。

Effectiveness and safety of Qigong for diabetes patients:an overview of systematic reviews

Objective To overview the systematic reviews/meta-analysis (SRs/MAs) for effectiveness and safety of Qigong in diabetes mellitus patients.Methods PubMed,EMbase,Cochrane Library,CINAHL,CNKI,CBM,WanFang Data and VIP databases were searched through computer to collect SRs/MAs about Qigong (Baduanjin,tai chi,Five-Animal Exercises,etc),in diabetes mellitus patients.Two researchers independently collected information,and evaluated the methodological quality and grades of evidence of the included studies by using AMSTAR scale and GARDE system.Results A total of 7 SRs/MAs were included.The resuits of AMSTAR scale evaluation showed that only 3 studies were of high quality.The results of GRADE system showed that 4 outcomes were graded as'medium quality',while the others were'low quality'or'very lowquality'.Two systematic reviews proved the safety of Qigong,and no side effect was rcportcd.Conclusion The methodological quality of included SRs/MAs is poor,with a low grade of evidence.Qigong has good safety,and can be used as a supplementary treatment for diabetes patients.More high quality experiments is needed to demonstrate its effectiveness.