摘要
目的采用网状Meta分析评价不同有氧运动方式对冠心病患者心功能的改善效果。方法检索Cochrane Library、PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普中文科技期刊数据库,搜集有氧运动对冠心病患者心功能的随机对照试验,限定时间为建库至2021年12月31日,由两名研究员独自筛选文献、提炼资料并评价纳入文献的偏倚风险后,采用Stata 14和Gemtc程序包进行网状Meta分析。结果共有19篇文献入选,包含1499例患者,涉及6种有氧运动方式(八段锦、步行、快走、慢跑、太极、常规干预)。针对左室射血分数的网状Meta分析相应的排序概率结果:快走>八段锦>太极>常规;代谢当量的网状Meta分析相应的排序概率结果:步行>八段锦>常规>太极;B型利钠肽原网状Meta分析相应的排序概率结果:太极>慢跑>快走>常规;6 min步行试验的网状Meta分析相应的排序概率结果:八段锦>快走>太极>步行>常规。结论当前证据显示,在改善冠心病患者心功能方面,八段锦、步行、快走、慢跑、太极都可能是有效的干预方式,不同有氧运动方式在改善心功能方面有不同的侧重点,建议开展更多多中心双盲的有氧运动方式改善冠心病患者心功能效果的点对点研究。
Objective Network Meta-analysis was used to evaluate the effect of different aerobic exercise mothods on the improvement of cardiac function in patients with coronary heart disease.Methods Searching the Cochrane Library,PubMed,Embase,Web of Science,China Biomedical Database,CNKI,Wanfang Data Knowledge Service Platform,VIP Database for Chinese Technical Periodicals and collecting randomized controlled trials of aerobic exercise on cardiac function in patients with coronary heart disease.The limited time was from the establishment of the database to December 31,2021.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias of the included literatures,and then Stata 14 and Gemtc software packages were used to perform network Meta-analysis.Results A total of 19 literatures were selected,including 1499 patients,involving 6 aerobic exercise modalities(baduanjin,walking,brisk walking,jogging,TaiChi,routine intervention).The corresponding ranking probability results of network Meta-analysis of left ventricular ejection fraction were brisk walking>baduanjin>TaiChi>routine.The corresponding ranking probability results of network Meta-analysis of metabolic equivalent were walking>baduanjin>routine>TaiChi.The corresponding ranking probability results of network Meta-analysis of B-type natriuretic peptide were TaiChi>jogging>brisk walking>routine.The corresponding ranking probability results of network Meta-analysis of the 6-minute walk trial were baduanjin>brisk walking>TaiChi>walking>routine.Conclusion Current evidence shows that baduanjin,walking,brisk walking,jogging,and TaiChi may be effective intervention methods in improving the heart function of patients with coronary heart disease.Different aerobic exercise methods have different emphasis on improving heart function.It is suggested to conduct multi-center double-blind head-to-head studies on the effect of aerobic exercise on improving cardiac function in patients with coronary heart disease.
作者
丁利萍
范新荣
刘凤
魏刚
任静
徐芬
DING Liping;FAN Xinrong;LIU Feng;WEI Gang;REN Jing;XU Fen(Department of Cardiovascular Medicine,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China)
出处
《护理管理杂志》
CSCD
2023年第2期77-82,共6页
Journal of Nursing Administration
基金
国家自然科学基金青年基金(81500259)
泸州市科技计划项目[2017-S-40(16/18)]
西南医科大学校级科研项目(2020ZRQNA003)
关键词
有氧运动
冠心病
心功能
网状Meta分析
aerobic exercise
coronary heart disease
cardiac function
network Meta-analysis
作者简介
丁利萍,硕士,主管护师;通信作者:徐芬,E-mail:xu3162035@163.com
