太极拳对不同性别ATS依赖者体质及心理干预效果的Meta分析  

Effect of Tai Chi on Physical and Psychological Intervention of ATS Dependents of Different Genders:A Meta-analysis

作　　者：朱志成 李雪[1] 李梦 万辉 ZHU Zhicheng;LI Xue;LI Meng;WAN Hui(Chengdu Sport University,Chengdu 610041,China;Sichuan Drug Rehabilitation Administration,Chengdu 610036,China)

机构地区：[1]成都体育学院,四川成都610041 [2]四川省戒毒管理局,四川成都610036

出　　处：《中国体育科技》2021年第6期53-66,共14页China Sport Science and Technology

基　　金：全国司法行政戒毒系统运动戒毒试点项目(XLZT-19FFC040002);成都体育学院科研创新团队资助项目(CXTD201809);成都体育学院运动医学与健康研究所创新课题(CX19B07);运动医学国家体育总局、四川省重点实验室项目(2021-A016)。

摘　　要：目的:评价太极拳对不同性别苯丙胺类兴奋剂(amphetamine-type stimulants,ATS)依赖者体质及心理的干预效果。方法:通过PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据、维普、中国生物医学文献服务系统等数据库搜索太极拳对ATS依赖者干预的随机对照实验,采用RevMan 5.4对纳入的文献数据进行统计分析。结果:太极拳干预对ATS依赖者的BMI、体脂率、肺活量、握力的影响均无统计学意义(P>0.05)。在SCL-90量表中除躯体化评分外,各子维度评分均无影响(P>0.05);QoL-DA量表中,除症状评分外,各子维度的评分均有所改善(P<0.05)。亚组分析表明:对女性ATS依赖者而言,太极拳干预可有效降低其安静心率(MD=-3.21,95%CI:-6.19~-0.23,P<0.05),降低收缩压(MD=-4.59,95%CI:-7.26~-1.91,P<0.01),提高坐位体前屈成绩(MD=3.43,95%CI:1.81~5.04,P<0.0001);并可提高男女ATS依赖者闭眼单脚站立时间(MD=12.74,95%CI:9.27~16.21,P<0.00001)。结论:太极拳可有效降低男性ATS依赖者的舒张压,降低女性ATS依赖者安静心率及收缩压;提升柔韧素质和平衡能力;促进心理健康水平的提升。Objective:To evaluate the effect of Tai Chi on physical and psychological intervention of ATS dependents of different genders.Methods:The randomized controlled trials of Tai Chi on ATS dependents were searched by PubMed,Embase,Cochrane Library,Web of Science,CNKI,Wanfang database,Chongqing VIP and SinoMed.The included literatures data were statistically analyzed by RevMan 5.4.Results:The effects of Tai Chi intervention on the BMI,body fat,vital capacity and hand grip of ATS dependence patients were not statistically significant(P>0.05).In the SCL-90 scale,except for the somatization score,the scores of all sub-dimensions had no effect(P>0.05);in the QoL-DA scale,except for the symptom score,the scores of all sub-dimensions were improved(P<0.05).Subgroup analysis showed that Tai Chi intervention could effectively reduce the pulse of female ATS dependent patients(MD=-3.21,95%CI:-6.19~-0.23,P<0.05);reduce the systolic of female ATS dependent patients(MD=-4.59,95%CI:-7.26~-1.91,P<0.01);improve the sit-and-reach performance of female ATS dependent patients(MD=3.43,95%CI:1.81~5.04,P<0.0001);increase the time of one-leg stand with eyes closed(MD=12.74,95%CI:9.27~16.21,P<0.00001).Conclusions:Tai Chi can effectively reduce the diastolic of male dependent patients,and reduce the systolic and pulse of female dependent patients,and improve the flexibility and balance ability,and promote the improvement of mental health.

关 键 词：太极拳 苯丙胺类兴奋剂 体质 心理 荟萃分析 

分 类 号：G804.2[文化科学—运动人体科学]