太极拳习练过程中安全性的meta分析  

Safety of Tai Chi: Meta-analysis

作　　者：崔华[1] 李俊峰 阎彬[2] 李艳君[1] 李翠含[1] 刘宁宁[1] LI Jun-feng;YAN Bin;LI Yan-jun;LI Cui-han;LIU Ning-ning(Beijing Sport University,Beijing 100084,China;Physical Education School,Zhengzhou University,Zhengzhou 450044,Henan China)

机构地区：[1]北京体育大学,北京100084 [2]郑州大学体育学院,河南郑州450044

出　　处：《北京体育大学学报》2018年第6期117-124,共8页Journal of Beijing Sport University

基　　金：国家社会科学基金项目(项目编号:16FTY002);北京体育大学资助科研课题(项目编号:2014QN007)

摘　　要：太极拳风靡海内外,但是近年来有报告对其安全性提出了质疑。分析已发表的随机对照实验文献,证实太极拳安全性。检索MEDLINE/Pub Med,EBSCO host和the Cochrane Library从建库到2016年2月的文献。纳入标准:1)随机对照实验;2)两组平行;3)太极拳是核心干预;4)详细报告不良反应。使用Cochrane偏倚风险评价表评估纳入文献质量。研究结果:最终24项研究(26篇文献;2003—2016年;共1 794受试者)符合纳入标准。12项研究报告了完整的随机序列生成和分配隐藏。太极拳与运动或非运动干预相比,严重、一般、干预引发的不良反应均无显著差异。对于心脏病人来说,太极拳干预与非运动干预相比严重不良反应发生数量存在显著差异(RD=-0.11,95%CI:-0.20,-0.03;P=0.01)。研究结论:在随机对照实验中,太极拳干预与其他运动或非运动干预相比是安全的,特别是适合心脏病人练习。希望今后的研究采用更严谨的研究方法,纳入足够的样本量,报告高质量的不良反应数据,这样才能更好地总结归纳评价太极拳的安全性。Tai Chi has been popular at home and abroad,but in recent years there have been doubts about its safety. This study analyzed the published papers with randomized controlled trials in order to explore the safety of Tai Chi. The literatures until February 2016 were searched in databases of Medline/Pub Med,EBSCO host and the Cochrane Library. Inclusion criteria of studies： 1） randomized controlled trials; 2） had experiment group and control group; 3） Tai Chi was the core intervention way; 4） reported the adverse events. The quality of studies was evaluated. Results： The 24 studies（ 26 papers published in 2003-2016,1794 subjects in total） were included in this study. Twelve study reported complete random sequence generation and allocation concealment.Compared with active or inactive exercise intervention,there was no significant difference of the frequency of intervention-related non-serious and serious adverse events in Tai Chi group. For cardiac patients,there were significant differences in the number of serious adverse events between Tai Chi intervention and non exercise intervention（ RD =-0. 11,95% CI：-0. 20,-0. 03; P = 0. 01）. Conclusions： In randomized controlled trials,Tai Chi intervention is safe when compared with other exercise or non exercise interventions,and it is especially suitable for patients with heart disease. It is hoped that more rigorous research methods can be used in future research to include sufficient sample size and report high quality data of adverse events so as to better summarize and evaluate the safety of Tai Chi.

关 键 词：不良反应 META分析 安全性 太极 随机对照实验 

分 类 号：G852.112[文化科学—民族体育]