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作 者:韩璐 陆颖[2] 朱音[1] 王静[1] 陈超洋 李洁[2] HAN Lu;LU Ying;ZHU Yin;WANG Jing;CHEN Chao-yang;LI Jie(Shanghai University of Traditional Chinese Medicine,Shanghai 200023;Shanghai Qigong Research Institute,Shanghai 200030,Taiji Health Center,Shanghai University of T.C.M/Shanghai Academy of T.C.M.,Shanghai 200030)
机构地区:[1]上海中医药大学,上海200023 [2]上海市气功研究所,上海中医药大学上海中医药研究院太极健康中心,上海200030
出 处:《按摩与康复医学》2022年第1期47-54,61,共9页Chinese Manipulation and Rehabilitation Medicine
基 金:上海市卫健委三年行动计划,编号:ZY(2018-2020)-CCCX-2007;上海市卫健委临床研究专项,编号:202040253;上海市教委项目,编号:No.18GJ157;上海市教委项目,编号:No.2019SZ156。
摘 要:目的:分析中医导引英文系统评价(SR)研究现状,总结当前研究热点,以期为中医导引的临床实践和未来研究提供科学依据。方法:检索PubMed、Cochrane Library收录的中医导引SR,筛选符合标准的文章,从一般信息、干预措施、疾病分类、Meta分析结果4个方面进行梳理、分析。结果:共检索到53篇SR。2007年—2021年中医导引SR发文量呈现出上升趋势,研究机构集中在中、美、韩、英4个国家,形成四个发表团队,发表期刊以补充替代医学类杂志为主。疾病研究最多的是原发性高血压、慢性阻塞性肺疾病、糖尿病、抑郁障碍和恶性肿瘤。36篇SR进行Meta分析,其中中医导引干预慢阻肺和抑郁障碍均获得有效结局指标;干预原发性高血压、2型糖尿病获得较多有效结局指标,从有效指标看,中医导引干预比不干预有更好效果。结论:中医导引SR受到国际持续关注,研究疾病与国际关注热点疾病一致,Meta分析结果提示,中医导引对慢性阻塞性肺疾病和抑郁障碍具有良好效果,对于原发性高血压、2型糖尿病仍需高质量的临床试验来支持疗效。Objective:To map the situation of systematic review(SR)researches on traditional exercises,track the current hotspots and provide the scientific evidences for clinical practices and further researches.Methods:All relevant SRs were searched in PubMed and Cochrane Library,assessed for eligibility,and analyzed based on general information,interventions,diseases,and research results of Meta analysis.Result:A total of 53 Qigong SRs were identified.Qigong SRs had been published in the period from 2007 to 2021,showing a upward trend.China was the most active country in conducting SRs on traditional exercises,followed by the United States,South Korea,and the United Kingdom.There were 4 academic teams.The main type of published journals were complementary and alternative medicine journals.The research hotpot spectrum of disease were essential hypertension,chronic obstructive pulmonary disease(COPD),diabetes,depressive disorders,neoplasms.36 meta-analysis were included in this study.According to the results of Meta-analysis,traditional exercise significantly improved the outcome measures of patients with COPD and depressive disorders.For patients with essential hypertension and type 2 diabetes,traditional exercise was better than no-treatment controls.Conclusion:Traditional exercises had received continuous attention over the world.The main research field of disease were consistent with international clinical hot spot diseases.There was sufficient high-level research evidence suggesting traditional exercises as a beneficial intervention for the diseases of COPD,depressive disorders.However,the effectiveness of the use of traditional exercise in essential hypertension,type 2 diabetes should be further tested.
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