运动康复训练对冠心病患者术后心血管不良事件预防效果的meta分析  

A meta-analysis of the preventive effect of exercise rehabilitation training on postoperative adverse cardiovascular events in patients with coronary heart diseases

作　　者：刘艳 陈蕊蕊 高文娟 延琼 缑艳霞 LIU Yan;CHEN Ruirui;GAO Wenjuan;YAN Qiong;GOU Yanxia(The Second Affiliated Hospital of PLA Air Force Medical University,Xi’an 710038,Shanxi Province,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院,西安710038

出　　处：《预防医学情报杂志》2023年第10期1256-1266,共11页Journal of Preventive Medicine Information

摘　　要：目的研究运动康复训练对冠心病患者术后生活质量及心血管不良事件发生情况的影响,从而在充分评估患者恢复状况的基础上为其提供具有针对性的康复运动训练方案,获得更佳的康复效果。方法采用复合逻辑检索方式,以“冠心病”“运动康复训练”“心血管不良事件”“Coronary artery disease”“Coronary arterioscleroses”“Exercise therapy”“Rehabilitation exercises”和“Adverse effects”等为检索词对知网Pubmed、Medline等从建库至2022年12月31日的文献进行检索,并筛选以运动康复训练为主要干预手段进行冠心病患者术后干预的参考文献。采用Review Manager 5.3软件进行Meta分析。结果研究共纳入15篇参考文献,且多数为低风险偏倚(中高等质量)。Meta分析结果显示:共有4项研究分析了患者峰值摄氧量变化,采用随机效应模型分析结果Z=4.66(P<0.05),差异有统计学意义;分析患者生活质量评分,所有亚组的合并结果显示:Tau2=23.94,Chi2=254.23,df=39,I2=85%;采用随机效应模型分析,结果显示:Z=7.79(P<0.05),差异有统计学意义;术后心血管不良事件发生情况亚组合并结果显示,Chi2=2.42,df=15,I2=0%,提示合并的文献无明显的异质性;采用固定效应模型分析,结果显示:Z=3.20(P<0.05),差异有统计学意义。结论运动康复训练有助于提升冠心病患者术后生活质量及心肺功能,并在一定程度上预防术后心血管不良事件的发生,具有一定的应用前景。Objective To explore the effects of exercise rehabilitation training on postoperative quality of life and adverse cardiovascular events in patients with coronary heart disease,to provide targeted rehabilitation exercise training programs for patients on the basis of fully evaluating their recovery status,and to obtain better rehabilitation effects.Methods A composite logic retrieval method was used to retrieve literatures from Pubmed,Medline,CNKI and other databases from their establishment to December 31,2022,with“coronary heart diseases”“exercise rehabilitation training”“adverse cardiovascular events”“coronary artery diseases”“coronary arterioscleroses”“exercise therapy”“rehabilitation exercises”“adverse effects”and so on as search terms.References of postoperative intervention among patients with coronary heart diseases with exercise rehabilitation training as the main intervention means were screened.The meta-analysis was performed by Review Manager 5.3 software.Results A total of 15 references were included in the study,most of which had low risk bias(medium and high quality).The results of meta-analysis showed that a total of 4 studies analyzed the changes of patients'peak oxygen uptake.The random effects model was used to analyze the results,Z=4.66(P<0.05),and the difference was statistically significant.The quality of life scores of patients were analyzed,and the combined results of all subgroups showed that Tau2=23.94,Chi2=254.23,df=39 and I2=85%.The random effects model analysis showed that Z=7.79(P<0.05),and the difference was statistically significant.The sub-combination results of postoperative adverse cardiovascular events showed that Chi2=2.42,df=15 and I2=0%,indicating that there was no significant heterogeneity in the combined literatures.The fixed effects model showed that Z=3.20(P<0.05),and the difference was statistically significant.Conclusions Exercise rehabilitation training can help improve the quality of life and cardiopulmonary function of patients with co

关 键 词：运动康复训练 冠心病 不良事件 心肺功能 

分 类 号：R49[医药卫生—康复医学]