气功治疗高血压病疗效的Meta分析  

Analysis of the Effect of Qigong Exercise in the Treatment of Hypertension Meta

作　　者：肖微[1] 章文春[1] 陈晓凡[1] 

机构地区：[1]江西中医药大学,2013级硕士研究生南昌330006

出　　处：《江西中医药大学学报》2015年第2期49-56,共8页Journal of Jiangxi University of Chinese Medicine

摘　　要：目的：系统评价气功疗法对高血压病患者疗效的影响。方法：计算机检索VIP（1989～2014.5）、WanFang Data（1980～2014.5）和CNKI（1992～2014.5）收集有关气功治疗高血压病的随机对照试验（RCT），检索时限均到2014年5月13日。由2位评价员按纳入与排除标准独立筛选文献、提取资料和评价纳入研究的方法学质量后，采用RevMan 5.2软件进行Meta分析，采用亚组和敏感性分析评估结果稳定性。结果：最终纳入9个研究，共1367例患者。 Meta分析结果显示：[临床总疗效率OR （95％CI）分别为7.09（2.54，19.80）、4.73，（0.95，23.47）、0.25，（0.13，0.48）]表明气功联合降压药或者物理疗法治疗高血压病的临床总疗效率高于单纯的药物和物理疗法，但单纯的气功疗法并不比药物好。气功干预或单纯的气功锻炼在缓解症状情况优于药物[17.48（10.30，29.65）]。[收缩压MD（95％CI）分别为-7.07，（-11.31，-2.84）、-11.17，（-21.86，-0.49）、-08.20，（-12.04，-4.36）和舒张压分别为-4.49，（-13.17，4.19）、-8.13，（-12.70，-3.56）、-4.90，（-7.79，-2.01）]。表明气功联合其他疗法或者单纯的气功锻炼其降低收缩压的效果比单纯的降压药好，以及单纯气功锻炼治疗高血压病在降低舒张压效果优于药物。但是气功疗法联合药物治疗在降低舒张压效果却不明显，并且随着练功的时间的延长在降低收缩压及舒张压效果也不明显，由于存在异质性，对其进行亚组及敏感性分析发现，结果较稳健，有待进一步的大量研究试验证实。结论：气功疗法在治疗高血压病的同时配合降压药或其他疗法降压效果及控制临床症状较单纯治疗好。但本研究纳入RCT质量均低，样本量较小，结论尚需大规模高质量RCT证实。Objective：System evaluation of Qigong therapy on the curative effect of patients with hypertension.Methods：Computer re-trieval VIP（1989 to 2014.5）, WanFangData（1980 to 2014.5） and CNKI（1992 to 2014.5）, collected from a randomized controlled trial of clinical Qigong （RCT）,Were searched from inception to May 13, 2014.Two reviewers screened literature according to the in-clusion and exclusion criteria, extracted data, and assessed the methodological quality of the included studies.Then meta-analysis was performed using RevMan 5.2 software,Using subgroup and sensitivity analyzes to assess the results of stability.Results：A total of 9 studies were included, In 1367 patients.The results of Meta analysis showed [ The total efficiency of OR （95%CI） respectively7.09 （2.54, 19.80）, （4.73, 0.95, 23.47, 0.25）, （0.13, 0.48）] That qigong combined antihypertensive drugs or physical therapy in the treatment of hypertension is always more efficient than the pure drug and physical therapy,But Qigong therapy alone is not better than drugs.Qigong intervention or simple Qigong exercise on relieving symptoms better than drugs （17.48 （10.30, 29.65））.Systolic blood pressure was MD （95%CI） respectively -7.07, （-11.31, -2.84）, -11.17, （-21.86, -0.49）, -08.20, （-12.04,-4.36）.and the diastolic pressure respectively-4.49, （-13.17, 4.19）, -8.13, （-12.70, -3.56）, -4.90, （ -7.79, -2.01） .That qigong combined with other therapies or simple qigong exercises its lower systolic blood pressure than the effect of antihy-pertensive drugs just good, and simple Qigong treatment of hypertension in the diastolic pressure reducing effect is better than that of drug.But Qigong guidance combined with drug therapy in reducing diastolic blood pressure effect is not obvious, and with the extension of time in reducing systolic and diastolic blood pressure effect is not obvious, due to the presence of heterogeneity, subgroup and sensi-tivity analysis of the findings, results are robust, nee

关 键 词：气功 高血压病 运动 META分析 系统评价 随机对照试验 

分 类 号：R255.3[医药卫生—中医内科学]