中国传统健身功法治疗抑郁症状有效性的网状Meta分析  

Network Meta-analysis of the Effectiveness of Traditional Chinese Fitness Exercises in the Treatment of Depressive Symptoms

作　　者：高佳文 王舜[1] GAO Jiawen;WANG Shun(School of Physical Education,Huaibei Normal University,Huaibei 235000,Anhui,China)

机构地区：[1]淮北师范大学体育学院,安徽淮北235000

出　　处：《西昌学院学报（自然科学版）》2024年第1期94-104,共11页Journal of Xichang University(Natural Science Edition)

基　　金：教育部人文社会科学研究青年基金项目(19YJC890045);安徽省教育厅质量工程重点项目(2021jyxm1323);淮北师范大学2024年度研究生创新基金项目(CX2024022)。

摘　　要：[目的]借助网状Meta分析方法比较八段锦、太极拳、五禽戏和易筋经4种中国传统健身功法调节抑郁症状的临床疗效,为制定调节抑郁症状的运动处方提供科学依据。[方法]全面检索中国知网、万方、PubMed、Cochrane library和Web of Science数据库,搜索公开发表的以4种中国传统健身功法调节抑郁症状的实验研究。按照Cochrane手册标准对所纳入的研究进行文献质量评价与偏倚风险评估,运用Stata软件对纳入文献进行网状Meta分析。共纳入41篇文献,44项实验研究,实验组1 601人,对照组1 667人。[结果]对于结局指标抑郁自评量表(SDS),易筋经对其评分改善效果显著优于对照组;对于汉密尔顿抑郁量表(HAMD),八段锦对其评分改善效果显著优于对照组;对于症状自评量表(SCL-90),太极拳对其评分改善效果显著优于对照组。[结论]4种传统健身功法对调节被试人群抑郁症状均具有一定疗效;太极拳相比其他干预措施对调节抑郁症状各项指标(SDS、SCL-90)的疗效最为显著;八段锦对调节抑郁症状(HAMD)的效果最佳。因此,对于抑郁症状人群,可以选择八段锦与太极拳进行干预。[Objective]To compare the clinical effectiveness of four traditional Chinese fitness exercises,Baduanjin,Tai⁃jiquan,Wuqinxi and Yijinjing,in regulating depressive symptoms by means of network meta-analysis,so as to provide scientific basis for formulating exercise prescriptions for regulating depressive symptoms.[Methods]A comprehensive search on CNKI,Wanfang,PubMed,Cochrane library and Web of Science databases was conducted to search for pub⁃lished experimental studies on the regulation of depressive symptoms by four traditional Chinese fitness exercises.Accord⁃ing to the Cochrane handbook standard,the literature quality evaluation and bias risk assessment of the included studies were carried out,and the network meta-analysis of the included literature was carried out by using Stata software.A total of 41 papers and 44 experimental studies were included,with 1601 people in the experimental group and 1667 people in the control group.[Results]For the outcome index self-rating depression scale(SDS),the improvement effect of Yijinjing on its score was significantly better than that of the control group;for Hamilton depression scale(HAMD),the effect of Baduanjin on the improvement of its score was significantly better than that of the control group;for symptomchecklist 90 (SCL-90), the improvement effect of Taijiquan on its score was significantly better than that of the controlgroup.[Conclusion]Four kinds of traditional fitness exercises have a certain effect on regulating the depressive symp⁃toms of the subjects;compared with other interventions, Taijiquan has the most significant effect on regulating the indica⁃tors of depressive symptoms (SDS, SCL-90). Baduanjin has the best effect on regulating depressive symptoms(HAMD). Therefore, for people with depressive symptoms, Baduanjin and Taijiquan can be selected for interventiontreatment.

关 键 词：健身功法 八段锦 太极拳 五禽戏 易筋经 抑郁症 网状Meta分析 

分 类 号：R247.4[医药卫生—中医临床基础]