太极拳锻炼对老年人COPD患者干预效果的Meta分析  

Meta Analysis of Intervention Effect of Taijiquan on Elderly Patients with COPD

作　　者：王莉华[1] 高亮 WANG Li-Hua;GAO Liang(Physical Education Department,Nanjing College of Information Technology,Nanjing 210023,China;Journal Agency of Nanjing Sports Institute,Nanjing 210014,China)

机构地区：[1]南京信息职业技术学院体育部,江苏南京210023 [2]南京体育学院期刊社,江苏南京210014

出　　处：《广州体育学院学报》2020年第6期95-101,共7页Journal of Guangzhou Sport University

基　　金：国家社科基金项目(18BTY098);中国博士后科学基金特别资助项目(2018T110538)。

摘　　要：目的:系统评价太极拳对老年COPD患者肺功能和运动能力的干预效果,以期为其提供科学有效的康复处方。方法:计算机检索Science Direct、Web of science、CNKI等数据库,检索年限均从1998年1月至2019年3月,收集太极拳对老年COPD患者肺功能和运动能力影响的随机对照实验研究,采用效应量与其对应95%置信区间为效应尺度。结果:16篇研究符合纳入标准,文献质量为A级的9篇,为B级的7篇。Meta分析结果:太极拳干预后老年患者FEV1(SMD=0.46,95%CI:0.20~0.72)、FEV1%(SMD=0.35,95%CI:0.21~0.48)、FEV1/FVC%(SMD=0.51,95%CI:0.05~0.97)显著提高,呼吸困难指数明显降低(SMD=-0.38,95%CI:-0.62^-0.13),6WMD明显提高,提高了20.35 m。由于研究间异质性较大,通过单因素Meta回归、亚组分析、敏感性分析探索研究间的异质性来源,同时还发现文献质量A级、干预周期>6个月、每周锻炼频率为3次、每次锻炼时间为>40 min对患者运动能力改善效果最佳。结论:太极拳锻炼能有效改善老年患者肺功能,使患者呼吸更佳顺畅,运动能力明显提高。建议临床工作者制订COPD康复方案时采用此处方。Objective:To systematically evaluate the intervention effect of Taijiquan on lung function and exercise capacity in elderly patients with COPD,in order to provide scientific and effective rehabilitation prescription.Methods:Computers were searched for Science Direct,EBSCOhost,Springer Link,Web of science,CNKI and Wan-Fang Date.The search period was from January 1998 to March 2019.The collection of Taijiquan on lung function and exercise in elderly patients with COPD A randomized controlled trial of the effects of competence,using standard mean difference and weighted mean difference and its corresponding 95%confidence interval as the effect scale.RESULTS:Sixteen studies met the inclusion criteria.The quality of the literature was 9 for grade A and 7 for grade B.Meta-analysis results:FEV1(SMD=0.46,95%CI:0.20-0.72),FEV1%(SMD=0.35,95%CI:0.21~0.48),and FEV1/FVC%(SMD=0.51)in elderly patients after Taijiquan intervention.95%CI:0.05~0.97 significantly increased,the dyspnea index decreased significantly(SMD=-0.38,95%CI:-0.62^-0.13),and 6WMD increased significantly,increasing by 20.35 m.Due to the heterogeneity between studies,the heterogeneity between the studies was explored by single factor Meta-regression,sub-group analysis,and sensitivity analysis.At the same time,the literature quality was grade A,the intervention period was>6 months,and the weekly exercise frequency was found.For 3 times,each exercise time is>40 min,which is the best for improving the patient's exercise capacity.Conclusion:Tai Chi exercise can effectively improve the lung function of elderly patients,so that the patient's breathing is better and smoother,and the exercise capacity is significantly improved.It is recommended that clinicians use this method when developing a COPD rehabilitation program.

关 键 词：太极拳锻炼 COPD患者 元分析 

分 类 号：G804.5[文化科学—运动人体科学]