运动康复训练在中老年膝骨关节炎应用效果的Meta分析  

The effect of exercise rehabilitation training in middle-aged and elderly patients with knee osteoarthritis:a Meta-analysis

作　　者：胡泽林 吴美璇 秦殿菊 HU Zelin;WU Meixuan;QIN Dianju(Chengde Medical University,Chengde 067000,China)

机构地区：[1]承德医学院护理学院,067000

出　　处：《中国老年保健医学》2023年第3期38-44,共7页Chinese Journal of Geriatric Care

摘　　要：目的系统评价运动康复训练在中老年膝骨关节炎患者的应用效果。方法计算机检索PubMed、Web of Science、Embase、SinoMed、中国知网、万方数据库、维普数据库,筛选国内外有关运动康复训练对中老年膝骨关节炎患者影响的随机对照试验。检索时间为建库至2022年3月,按照纳入与排除标准筛选文献并进行信息提取,采用Cochrane干预系统评价手册5.1.0对文献进行质量评价,使用Review Manager 5.4软件进行Meta分析。结果本研究共纳入13篇文献,共778个病例。Meta分析结果显示,运动康复训练能减轻患者的疼痛VAS(MD=-1.26,95%CI-1.51~-1.02,P<0.00001),WOMAC-P(MD=-4.61,95%CI-6.13~-3.08,P<0.00001);减轻患者僵硬程度WOMAC-S(MD=-1.43,95%CI-1.74~-1.12,P<0.00001),提升患者膝关节功能WOMAC-PF(MD=-14.55,95%CI-24.25~-4.85,P=0.003),提高患者肌力(MD=1.44,95%CI 0.66~2.23,P=0.003),提高患者步行能力40m FPWT(MD=-11.79,95%CI-19.67~-3.92,P=0.003)、TUG(MD=-1.73,95%CI-2.13~-1.34,P<0.00001),改善患者身体功能6-MWT(MD=26.95,95%CI 14.72~39.19,P<0.0001)、爬楼梯测试(MD=-5.82,95%CI-7.31~-4.34,P<0.00001)、LKSS评分(MD=8.72,95%CI 7.64~9.79,P<0.00001)。结论运动康复训练能减轻患者疼痛状况,减轻僵硬状况,提升关节功能,提高肌力,提高步行能力和改善身体功能。Objective To systematically evaluate the application effect of exercises rehabilitation training in middle-aged and elderly patients with knee osteoarthritis.Methods We searched PubMed,Web of Science,Embase,SinoMed,CNKI,Wanfang and VIP databases by computer to screen randomized controlled trial studies at home and abroad on the effects of exercise rehabilitation training on middle-aged and elderly patients with knee osteoarthritis.Retrieval time From Construction to March 2022,literatures were screened and information was extracted according to inclusion and exclusion criteria,the quality of literatures was evaluated by Cochrane Intervention Systematic Evaluation Manual 5.1.0,and the Meta-analysis was implemented with Review Manager 5.4.Results Totally 13 RCTs involving 778 patients were included.The results of Meta-analysis showed that exercise rehabilitation training could relieve pain in patients,VAS(MD=-1.26,95%CI-1.51~-1.02,P<0.00001),and WOMAC-P(MD=-4.61,95%CI-6.13~-3.08,P<0.00001);reduce stiffness of the patient,WOMAC-S(MD=-1.43,95%CI-1.74~-1.12,P<0.00001);improve patient muscle strength(MD=1.44,95%CI 0.66~2.23,P=0.003);improve the patient s walking ability,40m FPWT(MD=-11.79,95%CI-19.67~-3.92,P=0.003)and TUG(MD=-1.73,95%CI-2.13~-1.34,P<0.00001);improve the patient s physical function,6-MWT(MD=26.95,95%CI 14.72~39.19,P<0.0001)and stair climbing test(MD=-5.82,95%CI-7.31~-4.34,P<0.00001)and LKSS(MD=8.72,95%CI 7.64~9.79,P<0.00001).Conclusion Exercises rehabilitation training can relieve pain,relieve stiffness,improve joint function,improve muscle strength,improve walking ability and improve physical function.

关 键 词：运动康复 中老年人 膝骨关节炎 META分析 

分 类 号：R684.3[医药卫生—骨科学] R493[医药卫生—外科学]