运动干预对成人胸椎后凸畸形患者影响的Meta分析  

Efficacy of exercise intervention on thoracic kyphosis in adults:a meta-analysis

作　　者：张曌 郑婷婷 王钰姝 罗飞 刘蕾 ZHANG Zhao;ZHENG Tingting;WANG Yushu;LUO Fei;LIU Lei(The First Affiliated Hospital of Army Medical University,Chongqing 400000,P.R.China;The General Hospital of Western Theater Command,PLA,Chengdu 610000,P.R.China)

机构地区：[1]陆军军医大学第一附属医院,重庆400000 [2]中国人民解放军西部战区总医院,成都610000

出　　处：《中国循证医学杂志》2023年第5期534-538,共5页Chinese Journal of Evidence-based Medicine

基　　金：重庆市科卫联合医学科技创新四大工程重点项目(编号:2023ZDXM018);重庆市卫生健康委项目(编号:2022WSJK007)。

摘　　要：目的系统评价运动干预对成人胸椎后凸畸形患者的影响。方法计算机检索PubMed、EMbase、Web of Science、CINAHL、Cochrane Library、CNKI、CBM、WanFang Data和VIP数据库,搜集与研究目的相关的随机对照试验(RCT),检索时限均为建库至2022年11月。2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.4软件进行Meta分析。结果共纳入10个RCT,包括482例患者。Meta分析结果显示,与对照组相比,运动干预能够有效减少胸椎后凸角度[MD=-5.27,95%CI(-8.37,-2.17),P<0.01],提高患者生活质量[SMD=0.78,95%CI(0.52,1.04),P<0.01],但对疼痛和身体功能无显著影响。结论当前证据显示,运动干预能够改善成人胸椎畸形患者的胸椎后凸角度和生活质量,但对疼痛和身体功能的影响尚不明确。受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。Objective To systematically review the efficacy of exercise interventions on thoracic kyphosis in adults.Methods The PubMed,EMbase,Web of Science,CINAHL,Cochrane Library,CNKI,CBM,WanFang Data and VIP databases were electronically searched to collect randomized controlled trials(RCTs)related to the objective from inception to November 2022.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies.Meta-analysis was then performed by using RevMan 5.4 software.Results A total of 10 RCTs involving 482 patients were included.The results of meta-analysis showed that exercise interventions could reduce kyphosis angle(MD=−5.27,95%CI−8.37 to−2.17,P<0.01)and improve quality of life(SMD=0.78,95%CI 0.52 to 1.04,P<0.01)in thoracic kyphosis in adults,but there were no significant differences between the two groups in pain and physical function.Conclusion Current evidence suggests that exercise interventions can reduce thoracic kyphosis angle and improve quality of life in adults,but the effects on pain and physical function are unclear.Due to the limited quality and quantity of the included studies,more high quality studies are needed to verify the above conclusion.

关 键 词：胸椎后凸 运动 META分析 系统评价 随机对照试验 

分 类 号：R682[医药卫生—骨科学]