Ng Siu-Man, Wang Chong-Wen, Ho Rainbow Tin-Hung, Ziea Tat-Chi, He J, Wong Vivian Chi-Woon, Chan Cecilia Lai-Wan
Centre on Behavioral Health and Department of Social Work and Social Administration, University of Hong Kong.
Altern Ther Health Med. 2012 May-Jun;18(3):16-22.
To summarize and evaluate the available evidence from controlled clinical trials of tai chi (TC) exercise for patients with heart disease.
Fourteen databases were searched up to November 2010 with the terms tai chi, taichi, tai ji, taiji, taijichuan, cardiac, heart, coronary, myocardial, and atrial fibrillation in the title, abstract, or key words. No language restrictions were imposed. The quality and validity of randomized clinical trials (RCTs) were evaluated using the Jadad Scale. The strength of the evidence for all included studies was evaluated using the Oxford Centre for Evidence-based Medicine Levels of Evidence.
Nine studies including 5 RCTs and 4 nonrandomized controlled clinical trials met the inclusion criteria. Three studies examined the effectiveness of TC exercise for patients with chronic heart failure (CHF), and 6 studies examined the effectiveness of TC exercise among patients with coronary heart disease (CHD). Overall, these studies demonstrated favorable effects of TC exercise for the patients with heart disease.
The existing evidence suggests that TC exercise is a good option for heart patients with very limited exercise tolerance and can be an adjunct to rehabilitation programs for patients with CHD or CHF.
总结并评估太极拳（TC）运动对心脏病患者进行对照临床试验的现有证据。
截至2010年11月，检索了14个数据库，检索词为标题、摘要或关键词中包含太极拳、太极、太极、太极、太极拳、心脏、心脏、冠状动脉、心肌和心房颤动。未设语言限制。使用Jadad量表评估随机临床试验（RCT）的质量和有效性。使用牛津循证医学中心的证据水平评估所有纳入研究的证据强度。
9项研究符合纳入标准，包括5项RCT和4项非随机对照临床试验。3项研究考察了TC运动对慢性心力衰竭（CHF）患者的有效性，6项研究考察了TC运动在冠心病（CHD）患者中的有效性。总体而言，这些研究表明TC运动对心脏病患者有良好效果。
现有证据表明，TC运动对于运动耐量非常有限的心脏病患者是一个不错的选择，并且可以作为CHD或CHF患者康复计划的辅助手段。
