抗阻运动改善老年骨质疏松性骨折患者健康结局的Meta分析  

The effects of resistance exercise on health outcomes of older patients with osteoporotic fractures:a Metaanalysis

作　　者：汤昱暄 梁小芹[2] 于明明 TANG Yuxuan;LIANG Xiaoqin;YU Mingming

机构地区：[1]北京大学护理学院,北京市100191 [2]北京积水潭医院创伤骨科,北京市100191

出　　处：《中华护理杂志》2023年第10期1238-1244,共7页Chinese Journal of Nursing

基　　金：国家重点研发计划(2020YFC2008802);中央高校基本科研业务费(BMU2021YJ022)。

摘　　要：目的 系统评价抗阻运动对老年骨质疏松性骨折患者不同健康结局的改善效果。方法 计算机检索PubMed、Embase、Cochrane Library、Web of Science、CINAHL Plus、中国知网和万方数据库从建库至2022年9月1日发表的随机对照临床试验,采用随机对照试验偏倚风险评估工具2.0(version 2.0 of the Cochrane tool for assessing risk of bias in randomized trial,RoB 2.0)对纳入研究进行质量评价,使用元分析V3软件进行Meta分析。结果 纳入15项随机对照研究,共1 055例患者。Meta分析显示,抗阻运动可以有效改善老年骨质疏松性骨折患者的肌肉力量[SMD=0.746, 95%CI (0.152,1.339),P=0.014]、平衡能力[SMD=0.439,95%CI (0.086,0.792),P=0.015]和移动能力[SMD=0.240,95%CI(0.074,0.407),P=0.005];在行走速度测试方面的差异无统计学意义[SMD=0.203,95%CI(-0.008,0.415),P=0.059]。结论 抗阻运动能够有效提高老年骨质疏松性骨折患者肌肉力量、总体平衡能力和移动能力。在进行抗阻训练时,护理人员应针对患者的身体情况给予科学、高效的抗阻运动康复建议,指导患者完成运动计划,确保患者安全的同时促进患者健康结局的改善。Objective To systematically assess the effects of resistance exercise on different health outcomes of older patients with osteoporotic fractures.Methods Databases,including Pubmed,Embase,Cochrane Library,Web of Science,CINAHL Plus,CNKI,Wanfang,were systematically searched for studies with randomized controlled trial research design from their inception to september 1,2022.Quality assessment of the included articles was performed by RoB2(Version 2 of the Cochrane tool for assessing risk of bias in randomized trial).The meta-analysis was conducted using the Comprehensive Meta Analysis V3 software.Results 15 studies involving 1055 patients were finally included in this study.Meta analysis showed that resistance exercise could effectively improve muscle strength[SMD=0.746,95%CI(0.152,1.339),P=0.014],balance ability[SMD=0.439,95%CI(0.086,0.792).P=0.015]and mobile ability[SMD=0.240,95%CI(0.074,0.407),P=0.005]in older patients with osteoporotic fractures;however,there were no statistically significant differences in the improvement of walking speed[SMD=0.203,95%CI(-0.008,0.415),P-0.059].Conclusion Resistance exercise can effectively improve pain,muscle strength,balance ability and mobility in older patients with osteoporotic fractures.During the resistance training,nurses should give patients scientific and efficient suggestions on resistance exercise rehabilitation according to the specific physical conditions of patients,and guide them to complete the exercise plan,so as to ensure the safety of patients and improve the physical function of patients.

关 键 词：骨质疏松性骨折 老年人 抗阻运动 META分析 循证护理学 

分 类 号：R473.5[医药卫生—护理学]