抗阻运动对COPD患者运动耐力、肺功能和生活质量影响的Meta分析  

Effects of resistance training on exercise endurance,pulmonary function and quality of life in patients with chronic obstructive pulmonary disease:a Meta-analysis

作　　者：黄子叶 韩媛 王艳玲 Huang Ziye;Han Yuan;Wang Yanling(Department of Adult Nursing,Capital Medical University School of Nursing,Beijing 100069,China)

机构地区：[1]首都医科大学护理学院成人护理学学系,北京100069

出　　处：《中华现代护理杂志》2019年第14期1726-1731,共6页Chinese Journal of Modern Nursing

摘　　要：目的评价抗阻运动对COPD患者运动耐力、肺功能和生活质量的影响。方法检索Cochrane Library、PubMed、Embase、Web of Science、Science Driect、CNKI、维普数据库、万方数据库和生物医学文献数据库中关于抗阻运动应用在COPD患者的临床随机对照试验(RCT),检索时限自建库至2018年8月,采用RevMan 5.3软件进行Meta分析。结果最终纳入文献16篇,其中英文14篇,中文2篇。Meta分析结果显示,抗阻运动组与对照组患者在6 min步行距离(6MWD)、6 min移圈试验(6PBRT)圈数、第1秒用力呼气容积(FEV1)、第1秒用力呼气容积占预计值百分比(FEV1%pre)、用力肺活量(FVC)、第1秒用力呼气容积占用力肺活量百分比(FEV1/FVC%)的差异有统计学意义(P<0.05);而在生活质量简表(SF-36)、慢性呼吸系统疾病问卷(CRDQ)、慢性阻塞性肺疾病评估测试量表(CAT)得分的差异无统计学意义(P>0.05);可能存在发表偏倚。结论抗阻运动可以增强COPD患者的运动耐力,改善肺功能,但对患者生活质量改善作用不明显。Objective To evaluate the influence of resistance training on exercise endurance,pulmonary function and quality of life in the patients with chronic obstructive pulmonary disease(COPD).Methods Pubmed,Cochrane Library,Embase,Web of Science,Science Direct,CNKI,VIP,WanFang Database and Chinese biomedical literature database(CBM)were searched for Randomized Controlled Trails(RCT)studying the effects of resistance training in COPD patients from database establishment date to August 2018.Meta-analysis was conducted using Revman 5.3.Results The Meta-analysis result showed that the differences in six-minute walk distance(6MWD),numbers of turns on 6-minute pegboard and ring test(6PBRT),forced exhalation volume in one second(FEV1),the first second forced vital capacity percentage of expected value(FEV1%pre),forced vital capacity(FVC),the ratio of the first second forced vital capacity in forced vital capacity(FEV1/FVC%)between resistance training group and control group were statistically significant(P<0.05).But there were no significant differences in the scores from health survey(SF-36),Chronic Respiratory Disease Questionnaire(CRDQ)or the COPD Assessment Test(CAT)between the two groups(P>0.05).There may be publication bias.Conclusions Resistance training is effective to improve exercise endurance,pulmonary function,while the effects on quality of life is not significant in patients with COPD.

关 键 词：肺疾病 慢性阻塞性 生活质量 抗阻运动 运动耐力 META分析 

分 类 号：R473.5[医药卫生—护理学]