摘要
目的:系统比较间歇性运动训练及持续性运动训练在慢性阻塞性肺疾病(COPD)病人康复治疗中的应用效果。方法:计算机检索中国知网、万方数据库、中国生物医学数据库、PubMed、The Cochrane Library中比较间歇性运动训练和持续性运动训练对COPD病人康复效果影响的随机对照研究,检索时限为建库至2020年5月31日,按照纳入与排除标准选择文献、评价文献质量和提取资料,采用Rev Man 5.3软件进行Meta分析。结果:最终纳入8篇研究,共包括374例受试者,均为中老年COPD病人。Meta分析结果显示,间歇性运动训练组与持续性运动训练组COPD病人的峰值功率差异无统计学意义[MD=9.60,95%CI(-0.61,17.54),Z=1.83,P=0.07],峰值通气量差异无统计学意义[MD=2.23,95%CI(-3.83,8.31),Z=0.78,P=0.44],峰值摄氧量差异无统计学意义[MD=0.06,95%CI(-0.09,0.20),Z=0.77,P=0.44],6 min步行测试结果差异无统计学意义[MD=1.49,95%CI(-13.14,28.12),Z=0.71,P=0.48],呼吸困难程度差异无统计学意义[MD=0.83,95%CI(-0.82,2.47),Z=0.99,P=0.32],焦虑和抑郁情况差异无统计学意义[MD=-0.26,95%CI(-0.77,0.25),Z=0.99,P=0.32;MD=-0.15,95%CI(-0.85,0.55),Z=0.42,P=0.67]。结论:现有证据表明,间歇性运动训练与持续性运动训练改善COPD病人的运动能力、肺功能及心理健康的效果相当,两种运动训练方法一定程度上可以互为补充。
Objective:To systematically evaluate and analyze the efficacy between interval exercise training and continuous exercise training in patients with COPD.Method:Randomised controlled trials,those compared the effects of interval versus continuous exercise training in rehabilitation of patients with COPD,were searched in CNKI,Wanfang Database,CBM,PubMed and The Cochrane Library.All studies were searched from inception to May 31,2020.The literatures were selected according to inclusion and exclusion criteria.And the quality of literatures was evaluated,and data were extracted.Meta-analysis was performed using Rev Man 5.3 software.Results:Finally,eight studies were included,involving 374 subjects,all of whom were middle-aged and elderly patients with COPD.In patients with COPD,interval and continuous exercise training modalities showed no significant differences in W_(peak)[MD=9.6,95%CI(-0.61,17.54),Z=1.83,P=0.07],V_(Emax)[MD=2.23,95%CI(-3.83,8.31),Z=0.78,P=0.44],VO_(2max)[MD=0.06,95%CI(-0.09,0.20),Z=0.78,P=0.44],6MWD[MD=1.49,95%CI(-13.14,28.12),Z=0.71,P=0.48],the degree of dyspnea[MD=0.83,95%CI(-0.82,2.47),Z=0.99,P=0.32],anxiety[MD=-0.26,95%CI(-0.77,0.25),Z=0.99,P=0.32],and depression[MD=-0.15,95%CI(-0.85,0.55),Z=0.42,P=0.67].Conclusions:Exisiting evidence showed that,interval exercise training and continuous exercise training had the similar effects in improving the motor ability,lung function and mental health of COPD patients,and the two exercise training methods could be complementary to each other.
作者
陈莉
苏静
张敏柔
CHEN Li;SU Jing;ZHANG Minrou(School of Nursing,Shantou University Medical College,Guangdong 515041 China)
出处
《护理研究》
北大核心
2021年第13期2327-2335,共9页
Chinese Nursing Research
作者简介
陈莉,硕士研究生在读;通讯作者:苏静,E-mail:jsu@stu.edu.cn。
