高强度间歇性运动对脑卒中患者心肺功能康复效果的Meta分析  

Meta⁃analysis of the effects of high⁃intensity intermittent exercise on cardiopulmonary function rehabilitation in patients with stroke

作　　者：王承烁 武晟竹 武亮 胥亚楠 张林丽 用明金 WANG Cheng-shuo;WU Sheng-zhu;WU Liang;XU Ya-nan;ZHANG Lin-li;YONG Ming-jin(Tianjin University of Sport,Tianjin 301617,China;Beijing Xiaotangshan Hospital,Beijing 102211,China;Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222001,China)

机构地区：[1]天津体育学院,天津301617 [2]北京小汤山医院,北京102211 [3]连云港市中医院,江苏连云港222001

出　　处：《海南医学院学报》2023年第23期1817-1824,共8页Journal of Hainan Medical University

基　　金：北京市医院管理中心青年人才培养“青苗”计划(QML20212201)。

摘　　要：目的:系统评价高强度间歇性运动(HIIT)对脑卒中患者心肺功能的康复效果,从而为脑卒中患者选择最佳的康复方案提供依据。方法:计算机检索CNKI、WanFang Data、VIP、CBM、Pubmed、EMbase、Web of science、The Cochrane Library数据库,检索时间为自建库至2023年3月,纳入有关HIIT改善脑卒中患者心肺功能的随机对照试验,对纳入文献进行筛选、资料提取和偏倚风险评价,然后使用RevMan 5.4软件和Stata17.0软件进行Meta分析。结果:最终有9篇文献符合该研究标准,共428例患者。Meta分析结果显示,与对照组相比,HIIT对峰值摄氧量(VO_(2)peak)[MD=3.87,95%CI(3.43,4.31),P<0.000 01]、每分钟通气量(VE)[MD=7.14,95%CI(4.34,9.94),P<0.000 01]、峰值功率(WRpeak)[MD=17.13,95%CI(13.73,20.54),P<0.000 01]、6分钟步行距离(6MWD)[MD=43.82,95%CI(16.08,71.56),P=0.002]、10米步行试验(10MWT)[MD=-2.00,95%CI(-2.91,-1.08),P<0.000 1]的干预效果均优于对照组。结论:目前分析结果显示,与常规康复治疗或持续性有氧运动相比较,HIIT在改善脑卒中患者心肺功能方面更具有优势。Objective:To systematically evaluate the rehabilitation effect of high⁃intensity intermittent exercise(HIIT)on cardiovascular function in stroke patients,in order to provide a basis for selecting the best rehabilitation plan for stroke patients.Methods:Computer retrieval of CNKI,WanFang Data,VIP,CBM,PubMed,EMbase,Web of Science,The Cochrane Li⁃brary databases was conducted from the establishment of the database until March 2023.Randomized controlled trials on HIIT im⁃proving cardiovascular function in stroke patients were included,and the included literature was screened,data extracted,and bias risk evaluated.Then,meta⁃analysis was conducted using RevMan 5.4 software and Stata17.0 software.Results:In the end,9 arti⁃cles met the research criteria,with a total of 428 patients.The meta⁃analysis results showed that compared with the control group,HIIT had significant effects on peak oxygen uptake(VO_(2)peak)[MD=3.87,95%CI(3.43,4.31),P<0.00001],minute ventila⁃tion(VE)[MD=7.14,95%CI(4.34,9.94),P<0.00001],peak power(WRpeak)[MD=17.13,95%CI(13.73,20.54),P<0.00001],and 6⁃minute walking distance(6MWD)[MD=43.82,95%CI(16.08,71.56),P=0.002],The intervention effect of the 10 meter walking test(10MWT)[MD=−2.00,95%CI(⁃2.91,−1.08),P<0.0001]was better than that of the control group.Conclusion:The current analysis results show that compared to conventional rehabilitation therapy or continuous aerobic ex⁃ercise,HIIT has more advantages in improving the cardiopulmonary function of stroke patients.

关 键 词：高强度间歇性运动 持续性有氧运动 脑卒中 心肺功能 META分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]