太极拳减少居家老人跌倒效果的Meta分析  

Meta analysis of the effect of Tai chi on reducing falls among elders living at home

作　　者：郑萍萍[1] 张军[1] 童莉[2] 

机构地区：[1]武汉大学HOPE护理学院,430071 [2]武汉大学中南医院综合医疗科,430071

出　　处：《中华现代护理杂志》2013年第10期1123-1127,共5页Chinese Journal of Modern Nursing

摘　　要：目的系统评价太极拳运动应用于居家老年人以减少跌倒发生的效果。方法通过计算机检索2002—2012年Cochrane图书馆、Medline、High Wire、EMbase、EBSCO host、万方数据和中国知网中关于太极拳运动的随机对照临床试验。根据纳入和排除标准，共获得符合标准的文献14篇，运用RevMan 5.02统计软件对结果进行综合分析。结果太极拳运动可减少≥1次跌倒的发生率（P=0.004），提高老年人的平衡感和肢体的灵活性。与对照组相比，太极拳组的单腿睁眼站立时间［WMD=8.99，95% CI（6.02,11.95），P〈0.01］及单腿闭眼站立时间［WMD=1.65，95% CI（1.18, 2.11），P〈0.01］均优于对照组。5项研究表明太极拳干预能够提高肢体的灵活性，直膝弯腰躯体前倾，测手臂能达到的最大距离WMD=3.84［95% CI（2.47,5.21），P〈0.01］。结论太极拳运动有利于减少居家老年人跌倒发生率，改善平衡感和躯体的灵活性，是一项值得倡导和推广的运动。Objective To evaluate the effect of Tai Chi on reducing falls of elderly living at home systemically. Methods Databases such as Cochrane Library, Medline, High Wire, EBSCO host, CNKI and Wangfang Data between 2002--012 were searched to collect randomized controlled trials related to Tai Chi and falls. And a total of 14 articles were qualified according to the inclusion criteria and exclusion criteria, and RevMan 5.02 was used to conduct comprehensive analysis. Results The incidence rate of Tai chi to reduce at least one fall by improving equilibrium sense and body flexibility of the elderly was O. 004. Compared with the control group, the standing time with one leg and eyes open in Tai chi group was WMD = 8.99 [95% CI （6.02, 11.95） ,P 〈0.01 ] , and the standing time with one leg and eyes closed in Tai chi group was that WMD =1.65, [95% CI（ 1. 18, 2.11 ） ,P 〈 0.01 ]. Five investigations showed that Tai chi intervention could improve body flexibility. Conclusions Tai chi is beneficial to reduce falls of the elderly living at home by improving their equilibrium sense and body flexibility, which should be advocated and popularized.

关 键 词：老年人 跌倒 太极拳 系统分析 

分 类 号：G852[文化科学—民族体育]