心血管康复医学杂志2024,Vol.33Issue(1) :6-10.DOI:10.3969/j.issn.1008-0074.2024.01.02

基于传统功法的心脏康复对心力衰竭疗效的Meta分析

Therapeutic effect of cardiac rehabilitation based on traditional exercise on heart failure:a Meta-a-nalysis

邢军茹 杨燕 陈鑫 曹江芬 郭茹楠
心血管康复医学杂志2024,Vol.33Issue(1) :6-10.DOI:10.3969/j.issn.1008-0074.2024.01.02

基于传统功法的心脏康复对心力衰竭疗效的Meta分析

Therapeutic effect of cardiac rehabilitation based on traditional exercise on heart failure:a Meta-a-nalysis

邢军茹 1杨燕 1陈鑫 1曹江芬 1郭茹楠1
扫码查看

作者信息

  • 1. 中国人民解放军空军军医大学第一附属医院全科医学科,陕西西安 710032
  • 折叠

摘要

目的:讨论基于传统功法的心脏康复对心力衰竭(HF)的疗效.方法:检索中国知网(CNKI)、万方、维普、Pubmed、cochrane library等数据库中基于传统功法的心脏康复运动应用于HF患者的文献,时间为自建库至2023年3月.依据纳入和排除标准筛选文献,并进行文章质量评价和数据提取,使用RevMan 5.3进行Meta分析.结果:Meta分析结果显示,与对照组比较,观察组LVEF[MD=4.51,95%CI(1.70,7.33),P=0.002]、6 min步行距离[6MWD,MD=51.90,95%CI(39.24,64.57),P=0.001]均显著增加,左室收缩末期内径[MD=-1.64,95%CI(-3.18,-0.11),P=0.040]、左室舒张末期内径[MD=-2.49,95%CI(-3.28,-1.69),P=0.001]、明尼苏达心力衰竭生活质量量表评分[MD=-6.89,95%CI(-8.64,-5.33),P=0.001]、N末端脑钠肽前体水平[MD=-151.46,95%CI(-208.21,-94.70),P=0.001]均显著缩小或降低.结论:基于传统功法的心脏康复可显著改善心力衰竭患者心功能,增加6min步距,改善生活质量.

Abstract

Objective:To explore therapeutic effect of cardiac rehabilitation based on traditional exercise on heart failure(HF).Methods:We searched databases including CNKI,Wanfang,VIP,Pubmed and Cochrane library for literature about application of cardiac rehabilitation exercise based on traditional exercises in HF patients before Mar 2023.Literature were screened according to inclusion and exclusion criteria,while article quality assessment and da-ta extraction were performed,and RevMan 5.3 software was used to perform Meta analysis.Results:Meta analysis indicated that compared with control group,there were significant increase in LVEF[MD=4.51,95%CI(1.70,7.33),P=0.002]and 6 min walking distance[6MWD,MD=51.90,95%CI(39.24,64.57),P=0.001],and sig-nificant reductions in left ventricular end-systolic diameter[MD=-1.64,95%CI(-3.18,-0.11),P=0.040],left ventricular end-diastolic diameter[MD=-2.49,95%C1(-3.28,-1.69),P=0.001],score of Minnesota living with heart failure questionnaire[MD=-6.89,95%CI(-8.64,-5.33),P=0.001]and level of N-ter-minal pro-brain natriuretic peptide[MD=-151.46,95%CI(-208.21,-94.70),P=0.001]in observation group.Conclusion:Cardiac rehabilitation based on traditional exercise can significantly improve heart function,in-crease 6 min walking distance and improve quality of life in patients with heart failure.

关键词

心力衰竭/康复/护理

Key words

Heart failure/Rehabilitation/Nursing Care

引用本文复制引用

基金项目

国家自然科学基金(81870266)

出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
参考文献量19
段落导航相关论文