八段锦对高血压患者睡眠质量及血压影响的系统评价与Meta分析  

Systematic review and Meta-analysis of randomized controlled trials assessing the impact of Baduanjin exercise on sleep quality and blood pressure in hypertension patients

作　　者：陈梓琼 康雅红 苏桂婷 刘芳[1] CHEN Zi-qiong;KANG Ya-hong;SU Gui-ting;LIU Fang

机构地区：[1]福建中医药大学护理学院,福建福州350122

出　　处：《中国疗养医学》2025年第5期52-58,共7页Chinese Journal of Convalescent Medicine

基　　金：2022年福建省大学生创新创业培训计划(S202210393022);2022年福建中医药大学护理学科开放课题(XHL2022003)。

摘　　要：目的系统评价八段锦对高血压患者睡眠质量及血压的影响,并进行Meta分析。方法计算机检索中外文各数据库中有关八段锦干预高血压患者睡眠质量及血压的临床随机对照试验,使用Cochrane偏倚风险评估工具对纳入文献进行质量评价,采用RevMan 5.4软件对相关结局指标进行Meta分析。结果最终纳入7篇文献,涉及596例高血压患者,对纳入文献进行Meta分析显示:睡眠质量方面,八段锦组与对照组相比匹兹堡睡眠质量指数(PSQI)总分[MD=-2.81,95%CI(-3.16,-2.45),P<0.00001];PSQI分维度评分包括睡眠质量[MD=-0.39,95%CI(-0.59,-0.18),P=0.0002]、入睡时间[MD=-0.30,95%CI(-0.49,-0.11),P=0.002]、睡眠时间[MD=-0.26,95%CI(-0.42,-0.11),P=0.0008]、睡眠效率[MD=-0.27,95%CI(-0.44,-0.10),P=0.001]、睡眠障碍[MD=-0.29,95%CI(-0.45,-0.13),P=0.0004]、催眠药物[MD=-0.24,95%CI(-0.36,-0.11),P=0.0002]、日间功能障碍[MD=-0.22,95%CI(-0.36,-0.08),P=0.002];睡眠总有效率[OR=4.75,95%CI(2.15,10.49),P=0.0001]。血压方面,八段锦组与对照组相比收缩压[MD=-4.74,95%CI(-5.92,-3.56),P<0.00001],舒张压[MD=-3.92,95%CI(-4.71,-3.12),P<0.00001],差异均具有统计学意义(P<0.05)。结论习练八段锦可有效改善高血压患者的睡眠质量并有良好降血压效果。Objective To systematically evaluate the effect of Baduanjin on sleep quality and blood pressure in hypertension patients,and conduct Meta-analysis.Methods Randomized controlled trials of Baduanjin intervention of hypertension patients on sleep quality and blood pressure were electronically searched in Chinese databases and English databases.Quality assessments were performed using the Corchrane risk of bias tool.Meta-analysis of attentional indicators was performed using RevMan 5.4 software.Results Seven randomized controlled trials involving 596 hypertension patients were included.Meta-analyses showed significant differences in the sleep quality outcomes,including the total scores of Pittsburgh Sleep Quality Index(PSQI)pooled mean difference(MD=-2.81,95%CI[-3.16,-2.45],P<0.00001),dimension scores of the PSQI like the subjective sleep quality(MD=-0.39,95%CI[-0.59,-0.18],P=0.0002),sleep latency(MD=-0.30,95%CI[-0.49,-0.11],P=0.002),sleep duration(MD=-0.26,95%CI[-0.42,-0.11],P=0.0008),habitual sleep efficiency(MD=-0.27,95%CI[-0.44,-0.10],P=0.001),sleep disturbances(MD=-0.29,95%CI[-0.45,-0.13],P=0.0004),use of sleep medications(MD=-0.24,95%CI[-0.36,-0.11],P=0.0002),daytime dysfunction(MD=-0.22,95%CI[-0.36,-0.08],P=0.002),and the total effective rate of sleep quality odds ratio(OR=4.75,95%CI[2.15,10.49],P=0.0001)between the Baduanjin group and control group.There were significant differences in the blood pressure indicators,including the systolic pressure(MD=-4.74,95%CI[-5.92,-3.56],P<0.00001)and diastolic pressure(MD=-3.92,95%CI[-4.71,-3.12],P<0.00001)between the Baduanjin group and control group.Conclusion Practicing Baduanjin can effectively improve the sleep quality of hypertension patients and have a good effect on lowering blood pressure.

关 键 词：八段锦 高血压 睡眠质量 系统评价 META分析 

分 类 号：R259[医药卫生—中西医结合]