不同运动方式改善冠心病患者的峰值摄氧量网状Meta分析  

Different exercise on peak oxygen uptake in patients with coronary artery disease:a network Meta-analysis

作　　者：卢元峰 毕钰 朱萍 张爱华 LU Yuanfeng;BI Yu;ZHU Ping;ZHANG Aihua(School of Nursing,Shandong First Medical University&Shandong Academy of Medical Sciences,Taian 271016,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)护理学院,山东泰安271016

出　　处：《山东第一医科大学（山东省医学科学院）学报》2023年第5期344-351,共8页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

基　　金：山东省自然科学基金面上项目(ZR2020MG005);山东省高校科研计划项目(人文社科类)A类计划(J18RA103)。

摘　　要：目的 探讨不同运动方式改善冠心病患者峰值摄氧量(VO2peak)的效果。方法 计算机检索PubMed、Web of Science、Embase、Scopus、Cochrane Library、SinoMed、CNKI、维普、万方数据库,检索有关运动干预冠心病患者峰值摄氧量的随机对照试验,检索时限均为建库至2022年9月。检索词为主题词与自由词结合,英文检索词包括:exercise、sports、physical activity、training、coronary artery disease、coronary heart disease、CAD、CHD、percutaneous coronary intervention、PCI、coronary artery bypass grafting、CABG、peak oxygen uptake、VO2peak、VO2max等;中文检索词包括:运动、运动疗法、冠心病、冠心病介入、冠状动脉介入、冠状动脉旁路移植术、冠脉搭桥、峰值摄氧量、最大摄氧量等。使用Cochrane质量评价手册进行纳入文献质量评价,由2位研究者独立进行数据提取及分析,采用Stata16.0软件对纳入研究的数据进行网状Meta分析。结果 共纳入33篇文献,6种运动方式,共3 090例患者。结果显示,6种运动方式改善冠心病患者峰值摄氧量的效果由高到低分别为:高强度间歇训练、中等强度持续训练联合抗阻运动、抗阻运动、中等强度持续训练、太极拳、瑜伽。结论 高强度间歇训练对冠心病患者峰值摄氧量干预效果最佳,但结果还需进一步验证。Objective:To evaluate the effect of different exercise on peak oxygen uptake(VO2 peak)in patients with coronary heart disease.Methods:PubMed,Web of Science,Embase,Scopus,Cochrane Library,SinoMed,CNKI,VIP and Wanfang databases were searched for randomized controlled trials on peak oxygen intake during exercise intervention.The retrieval period was from the establishment of the databases to September 2022.The search terms combined the subject term and free term,including exercise,sports,physical activity,training,coronary artery disease,coronary heart disease,CAD,CHD,percutaneous coronary intervention,PCI,coronary artery bypass grafting,CABG,peak oxygen uptake,VO2peak,VO2max,etc.Cochrane Quality Evaluation Manual was used to evaluate the quality of the included literature.Data were extracted and analyzed independently by two researchers,and were analyzed with Stata16.0 software.Results:A total of 3090 patients and 6 types of exercise were included in references.The results showed that the effects of six exercise therapies in descending VO2peak were:high intensity intermittent exercise,moderate-intensity continuous exercise combined with resistance exercise,resistance exercise,moderate-intensity continuous exercise,Tai Chi and yoga.Conclusion:High-intensity intermittent exercise has the best effect on peak oxygen uptake in patients with coronary heart disease,but this conclusion needs further verification.

关 键 词：冠心病 峰值摄氧量 运动方式 网状Meta分析 

分 类 号：R541.4[医药卫生—心血管疾病]