运动康复对女性冠心病患者康复效果影响的meta分析  

Meta-analysis of the effects of exercise rehabilitation on the rehabilitation of female patients with coronary heart disease

作　　者：毕乐乐 陈蔚怡 张桃桃[1] Bi Lele;Chen Weiyi;Zhang Taotao(Hubei University of Medicine,Shiyan Hubei,442000,China)

机构地区：[1]湖北医药学院,湖北十堰442000

出　　处：《中外女性健康研究》2025年第1期17-22,共6页Women's Health Research

基　　金：围绝经期冠心病患者运动康复参与现状及影响因素研究,项目编号:202310929005。

摘　　要：目的:评价运动康复对女性冠心病患者血压、血脂、生活质量、6分钟步行、MET及焦虑情绪的影响。方法:通过检索Embase、Web of Science、Cochrane Library、PubMed、维普、万方、CNKI、中国生物医学文献数据库中有关运动康复应用于女性冠心病患者的文献,采用EndNote进行文献筛选,使用RevMan5.3对符合纳入标准的文献进行质量评价及数据分析。结果:共纳入10篇文献,共668例患者,Meta分析结果显示,舒张压(DBP)[MD=-4.28,95%CI(-6.61,-1.95),P<0.01]、HDL[MD=1.20,95%CI(0.56,1.85),P<0.01]、LDL[MD=-6.60,95%CI(-9.20,-4.01),P<0.01]、6分钟步行实验[MD=78.88,95%CI(9.70,148.06),P=0.03]、生活质量[SMD=1.03,95%CI(0.80,1.26),P<0.01]、MET[MD=1.70,95%CI(1.28,2.13),P<0.01]、焦虑情绪[MD=-5.80,95%CI(-10.99,-0.61),P=0.03],组间差异有统计学意义。收缩压组间差异不具有统计学意义。结论:运动康复在女性冠心病患者改善舒张压、血脂及焦虑情绪,提高心功能及生活质量等方面有积极作用,但在收缩压方面的作用尚需开展进一步的研究予以验证。Objective:To evaluate the effects of exercise rehabilitation on blood pressure,blood lipids,quality of life,six-minute walk test,MET and anxiety in female patients with coronary heart disease.Methods:We searched Embase,Web of Science,Cochrane Library,PubMed,VIP,Wanfang,China National Knowledge Infrastructure(CNKI)and China Biology Medicine Disc for literatures on exercise rehabilitation applied to female patients with coronary heart disease.EndNote was used for literature screening.RevMan5.3 was used to evaluate the quality of the included studies and analyze the data.Results:A total of 10 studies involving 668 patients were included.The results of Meta-analysis showed that diastolic blood pressure(DBP)[MD=-4.28,95%CI(-6.61,-1.95),P<0.01],HDL[MD=1.20,95%CI(0.56,1.85),P<0.01],LDL[MD=-6.60,95%CI(-9.20,-4.01),P<0.01],six minutes walking experiment[MD=78.88,95%CI(9.70,148.06),P=0.03],the quality of life[SMD=1.03,95%CI(0.80,1.26),P<0.01],MET[MD=1.70,95%CI(1.28,2.13),P<0.01],anxiety[MD=-5.80,95%CI(-10.99,-0.61),P=0.03],the difference between groups was statistically significant.The between-group difference in systolic blood pressure was not statistically significant.Conclusion:Exercise rehabilitation has a positive effect on improving diastolic blood pressure,blood lipids,anxiety,cardiac function and quality of life in female patients with coronary heart disease,but the effect on systolic blood pressure needs to be verified by further research.

关 键 词：运动康复 冠心病 女性 META分析 

分 类 号：R541.4[医药卫生—心血管疾病]