[1]杨晓丽,蔡益民,吴贤琳,等.八段锦对冠心病患者心脏康复干预效果的Meta分析[J].医学信息,2019,32(04):70-74.[doi:10.3969/j.issn.1006-1959.2019.04.024]
 YANG Xiao-li,CAI Yi-min,WU Xian-lin,et al.Meta-analysis of the Effect of Ba Duan Jin on Cardiac Rehabilitation Intervention in Patients with Coronary Heart Disease[J].Medical Information,2019,32(04):70-74.[doi:10.3969/j.issn.1006-1959.2019.04.024]
点击复制

八段锦对冠心病患者心脏康复干预效果的Meta分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年04期
页码:
70-74
栏目:
论著
出版日期:
2019-02-15

文章信息/Info

Title:
Meta-analysis of the Effect of Ba Duan Jin on Cardiac Rehabilitation Intervention in Patients with Coronary Heart Disease
文章编号:
1006-1959(2019)04-0070-05
作者:
杨晓丽1蔡益民2吴贤琳1蒋小雅2胡 仁2谢文瑶2
(1.湖南师范大学医学院护理系,湖南 长沙 410006;2.湖南师范大学附属第一医院心血管内科,湖南 长沙 410005)
Author(s):
YANG Xiao-li1CAI Yi-min2WU Xian-lin1JIANG Xiao-ya2HU Ren2XIE Wen-yao2
(1.Department of Nursing,School of Medicine,Hunan Normal University,Changsha 410006,Hunan,China;2.Department of Cardiology,the First Affiliated Hospital of Hunan Normal University,Changsha 410005,Hunan,China)
关键词:
八段锦冠心病心脏康复Meta分析
Keywords:
Ba DuanjinCoronary heart diseaseCardiac rehabilitationMeta-analysis
分类号:
R259
DOI:
10.3969/j.issn.1006-1959.2019.04.024
文献标志码:
A
摘要:
目的 评价八段锦应用于冠心病患者心脏康复的效果。方法 检索Cochrane Library、Web of science、Embase、PubMed、WOS-SCI、中国知网(CNKI)、中国生物医学(CBM)、万方和维普数据库,收集八段锦应用于冠心病患者的相关文献,检索时限为建库至2018年10月,结局指标包括左室射血分数(LVEF)、代谢当量(METs)、N末端B型利钠肽原(NT-proBNP)、6 min步行试验(6MWT)。采用RevMan 5.3软件进行Meta分析。结果 共纳入6篇文献,563例患者。Meta分析结果显示,与对照组相比,八段锦能提高冠心病患者的LVEF[MD=3.37,95%CI(2.30,4.43),P<0.00001]、METs[MD=0.54,95%CI(-0.07,1.14),P=0.08]和6MWT[MD=51.38,95%CI(22.79,79.98),P=0.0004],降低NT-proBNP水平[MD=-0.17,95%CI(-110.30,-84.04),P<0.00001]。结论冠心病患者进行八段锦运动可有效改善冠心病患者的心功能,该运动有望作为心脏康复运动处方的一个可选方案。
Abstract:
Objective To evaluate the effect of Ba Duan Jin on cardiac rehabilitation in patients with coronary heart disease. Methods The Cochrane Library, Web of Science, Embase, PubMed, WOS-SCI, China Knowledge Network (CNKI), China Biomedical (CBM), Wanfang and Weipu databases were searched to collect the relevant literatures of Ba Duan Jin applied to patients with coronary heart disease. The time limit for the study was to build the library until October 2018. Outcome measures included left ventricular ejection fraction (LVEF), metabolic equivalent (METs), N-terminal B-type natriuretic peptide (NT-proBNP), and 6-min walk test (6MWT).Meta analysis was performed using RevMan 5.3 software. Results A total of 6 articles were included and 563 patients were included. Meta-analysis showed that Ba Duan Jin improved LVEF in patients with coronary heart disease compared with the control group [MD=3.37, 95%CI (2.30,4.43), P<0.00001], METs [MD=0.54, 95%CI (-0.07,1.14), P=0.08] and 6MWT [MD=51.38, 95%CI (22.79,79.98), P=0.0004], reduce NT-proBNP levels [MD=-0.17, 95%CI (-110.30,-84.04) , P<0.00001]. Conclusion The exercise of Ba Duan Jin in patients with coronary heart disease can effectively improve the heart function of patients with coronary heart disease. This exercise is expected to be an option for the prescription of cardiac rehabilitation exercise.

参考文献/References:


[1]Sacks FM,Lichtenstein AH,Wu J,et al.Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association[J].Circulation,2017,136(3):e1.
[2]Owens EO,Knuckles TL,Campen MJ.Air Pollution and Cardiovascular Disease[J].Comprehensive Toxicology,2018,124(2):480-513.
[3]马丽媛,吴亚哲,王文,等.《中国心血管病报告2017》要点解读[J].中国心血管杂志,2018(1):3-6.
[4]Valtorta NK,Kanaan M,Gilbody S,et al.Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies[J].Heart,2016,102(13):1009-1016.
[5]Lee BJ,Jin YG,Kim AR,et al.Quality of Life and Physical Ability Changes After Hospital-Based Cardiac Rehabilitation in Patients With Myocardial Infarction[J].Annals of Rehabilitation Medicine,2017,41(1):121-128.
[6]李露,邵小平.冠心病患者心脏康复的研究进展[J].中西医结合护理(中英文),2017,3(7):32-35.
[7]Byung Joo Lee,Jin Young Go,Ae Ryung Kim,et al.Quality of Life and Physical Ability Changes After Hospital-Based Cardiac Rehabilitation in Patients With Myocardial Infarction[J].Annals of Rehabilitation Medicine,2017,41(1):121-128.
[8]Santiagod APC,Marzolini S,Pakosh M,et al.Effect of Cardiac Rehabilitation Dose on Mortality and Morbidity: A Systematic Review and Meta-regression Analysis[J].Mayo Clinic Proceedings,2017,92(11):1644-1659.
[9]孙卉丽,王硕仁,王亚红.八段锦应用于冠心病心脏康复的系统评价[J].长春中医药大学学报,2016,32(2):326-329.
[10]Higgins JPT,Green S.Cochrane handbook for systematic reviews of interventions version 5.1.1[EB/OL].
[2011-03-31].http://www.cochranehand-book.org.
[11]王家美,梁春,王蓓,等.“坐式八段锦”对急性心肌梗死患者介入治疗术后心脏康复的影响[J].中西医结合心脑血管病杂志,2018,16(8):1082-1085.
[12]石晓明,蒋戈利,刘文红,等.八段锦对冠心病患者心脏康复过程心肺功能的影响[J].解放军医药杂志,2017,29(2):24-27.
[13]熊向晖,邓旭.八段锦对冠心病慢性心力衰竭患者的疗效观察[J].中国现代医药杂志,2016,18(5):55-56.
[14]李岩松,夏静雯,居海宁,等.八段锦结合药物治疗对急性心肌梗死患者心脏康复的作用[J].心血管康复医学杂志,2018,27(03):254-258.
[15]于美丽.八段锦应用于冠心病慢性心衰患者Ⅱ期康复的随机对照研究[D].北京中医药大学,2018.
[16]赵闯.改良八段锦对冠心病稳定型心绞痛患者运动心肺功能及生活质量的影响[D].河南中医药大学,2017.
[17]萨喆燕,兰彩莲,潘晓华,等.基于红外热像技术探讨健身气功八段锦对心功能的影响[J].中国运动医学杂志,2018,37(8):657-661.
[18]Mao S,Zhang X,Shao B,et al.Baduanjin Exercise Prevents post-Myocardial Infarction Left Ventricular Remodeling (BE-PREMIER trial): Design and Rationale of a Pragmatic Randomized Controlled Trial[J].Cardiovascular Drugs and Therapy,2016,30(3):315-322.

相似文献/References:

[1]袁 帅,邢晓博,李 晓,等.MTHFR基因多态性与中年男性冠状动脉病变程度的相关研究[J].医学信息,2018,31(03):67.[doi:10.3969/j.issn.1006-1959.2018.03.021]
 YUAN Shuai,XING Xiao-bo,LI Xiao,et al.Association of MTHFR Gene Polymorphism with Coronary Artery Lesions in Middle-aged Men[J].Medical Information,2018,31(04):67.[doi:10.3969/j.issn.1006-1959.2018.03.021]
[2]张挺挺.经股和桡动脉介入治疗冠心病的临床疗效对比[J].医学信息,2018,31(03):114.[doi:10.3969/j.issn.1006-1959.2018.03.038]
 ZHANG Ting-ting.Comparison of Clinical Effects of Interventional Treatment of Coronary Heart Disease by Femoral and Radial Artery[J].Medical Information,2018,31(04):114.[doi:10.3969/j.issn.1006-1959.2018.03.038]
[3]迮艳华.稳心颗粒联合美托洛尔治疗冠心病心律失常的疗效分析[J].医学信息,2018,31(03):139.[doi:10.3969/j.issn.1006-1959.2018.03.049]
 ZE Yan-hua.Therapeutic Effect of Wenxin Granule Combined with Metoprolol on Arrhythmia of Coronary Heart Disease[J].Medical Information,2018,31(04):139.[doi:10.3969/j.issn.1006-1959.2018.03.049]
[4]张 旭.冠心病心绞痛患者进行护理干预的临床效果及 对护理质量影响研究[J].医学信息,2018,31(05):182.[doi:10.3969/j.issn.1006-1959.2018.05.068]
 ZHANG Xu.Clinical Effect of Nursing Intervention in Patients with Angina Pectoris of Coronary Heart Disease and its Influence on Nursing Quality[J].Medical Information,2018,31(04):182.[doi:10.3969/j.issn.1006-1959.2018.05.068]
[5]向明明,赵晓辉.黑龙江省东部地区汉族人群冠心病的危险因素研究[J].医学信息,2018,31(07):122.[doi:10.3969/j.issn.1006-1959.2018.07.041]
 XIANG Ming-ming,ZHAO Xiao-hui.Study on Risk Factors of Coronary Heart Disease in Han Nationality Population in Eastern Heilongjiang Province[J].Medical Information,2018,31(04):122.[doi:10.3969/j.issn.1006-1959.2018.07.041]
[6]王 坤,张永春.血清胆红素水平、单核细胞数、红细胞分布宽度与 冠状动脉病变程度的关系[J].医学信息,2018,31(08):53.[doi:10.3969/j.issn.1006-1959.2018.08.017]
 WANG Kun,ZHANG Yong-chun.Relationship between Serum Bilirubin Level,Monocyte Count,Red Blood Cell Distribution Width and Severity of Coronary Artery Disease[J].Medical Information,2018,31(04):53.[doi:10.3969/j.issn.1006-1959.2018.08.017]
[7]毛红岩.冠状动脉介入治疗冠心病的疗效及 对患者血清炎症因子的影响[J].医学信息,2018,31(10):77.[doi:10.3969/j.issn.1006-1959.2018.10.023]
 MAO Hong-yan.Effect of Coronary Intervention on Coronary Heart Disease and its Influence on Serum Inflammatory Factors[J].Medical Information,2018,31(04):77.[doi:10.3969/j.issn.1006-1959.2018.10.023]
[8]杨锦龙,刘 欢,吕秋菊,等.非糖尿病患者糖化血红蛋白和胰岛素抵抗与 冠状动脉病变程度的相关性研究[J].医学信息,2018,31(10):93.[doi:10.3969/j.issn.1006-1959.2018.10.028]
 YANG Jin-long,LIU Huan,LV Qiu-ju,et al.Correlation between Glycosylated Hemoglobin and Insulin Resistance and Severity of Coronary Artery Disease in Non-diabetic Patients[J].Medical Information,2018,31(04):93.[doi:10.3969/j.issn.1006-1959.2018.10.028]
[9]李 铎,王建华.盐酸曲美他嗪片辅助治疗对冠心病伴心力衰竭患者氧化应激、心肌功能的影响[J].医学信息,2018,31(10):126.[doi:10.3969/j.issn.1006-1959.2018.10.041]
 LI Duo,WANG Jian-hua.Effect of Trimetazidine Hydrochloride Tablets Adjuvant Therapy on Oxidative Stress and Myocardial Function in Patients with Coronary Heart Disease Complicated with Heart Failure[J].Medical Information,2018,31(04):126.[doi:10.3969/j.issn.1006-1959.2018.10.041]
[10]田跃雷.冠心病介入治疗后再狭窄的中西医防治[J].医学信息,2022,35(09):46.[doi:10.3969/j.issn.1006-1959.2022.09.011]
 TIAN Yue-lei.Prevention and Treatment of Restenosis After Percutaneous Coronary Intervention with Chinese and Western Medicine[J].Medical Information,2022,35(04):46.[doi:10.3969/j.issn.1006-1959.2022.09.011]

更新日期/Last Update: 2019-03-07