身心（八段锦）锻炼处方用于慢性阻塞性肺疾病：系统评价与荟萃分析。
Mind⁻Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease: A Systematic Review with Meta-Analysis.
机构信息
Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China.
Department of Physical Education, Shenzhen University, Shenzhen 518060, China.
出版信息
Int J Environ Res Public Health. 2018 Aug 24;15(9):1830. doi: 10.3390/ijerph15091830.
Baduanjin exercise is a traditional Chinese health Qigong routine created by an ancient physician for health promotion. Its mild-to-moderate exercise intensity is suitable for individuals with medical conditions. Recently, a large number of trials have been conducted to investigate the effects of Baduanjin exercise in patients with chronic obstructive pulmonary disease (COPD). It remains to be determined whether Baduanjin exercise prescription is beneficial for the management of COPD patients. Thus, we conducted a systematic review to objectively evaluate the existing literature on this topic. We searched six databases (PubMed, Web of Science, Cochrane Library, Scopus, China National Knowledge Infrastructure, and Wanfang) from inception until early May 2018. The adapted Physical Therapy Evidence Database (PEDro) scale was used for study quality assessment of all randomized controlled trials (RCTs). Based on 95% confidence interval (CI), the pooled effect size (Hedge's g) of exercise capability (6-Minute Walking Test, 6-MWT), lung function parameters (forced expiratory volume in one second, FEV₁; forced volume vital capacity, FVC; FEV₁/FVC ratio), and quality of life were calculated based on the random-effects model. Twenty RCTs ( = 1975 COPD patients) were included in this review, with sum scores of the adapted PEDro scale between 5 and 9. Study results of the meta-analysis indicate that Baduanjin is effective in improving exercise capability (Hedge's g = 0.69, CI 0.44 to 0.94, < 0.001, ² = 66%), FEV₁ (Hedge's g = 0.47, CI 0.22 to 0.73, < 0.001, ² = 68.01%), FEV₁% (Hedge's g = 0.38, CI 0.21 to 0.56, < 0.001, ² = 54.74%), FVC (Hedge's g = 0.39, CI 0.22 to 0.56, < 0.001, ² = 14.57%), FEV₁/FVC (Hedge's g = 0.5, CI 0.33 to 0.68, < 0.001, ² = 53.49%), and the quality of life of COPD patients (Hedge's g = -0.45, CI -0.77 to -0.12, < 0.05, ² = 77.02%), as compared to control groups. Baduanjin exercise as an adjunctive treatment may potentially improve exercise capability and pulmonary function of COPD patients as well as quality of life. Baduanjin exercise could be tentatively prescribed for COPD in combination with the conventional rehabilitation program to quicken the process of recovery. To confirm the positive effects of Baduanjin exercise for COPD patients, future researchers need to consider our suggestions mentioned in this article.
八段锦是一种由古代医师创造的传统中医养生气功，其运动强度适中，适合有医疗条件的人。最近，大量试验研究了八段锦运动对慢性阻塞性肺疾病（COPD）患者的影响。目前尚不清楚八段锦运动方案是否有益于 COPD 患者的管理。因此，我们进行了系统评价，以客观评估该主题的现有文献。我们从六个数据库（PubMed、Web of Science、Cochrane Library、Scopus、中国知网和万方）中检索了从开始到 2018 年 5 月初的所有文献。我们使用适应性物理治疗证据数据库（PEDro）量表评估所有随机对照试验（RCT）的研究质量。基于 95%置信区间（CI），使用随机效应模型计算运动能力（6 分钟步行测试，6-MWT）、肺功能参数（一秒用力呼气量，FEV₁；用力肺活量，FVC；FEV₁/FVC 比值）和生活质量的汇总效应大小（Hedge's g）。本综述纳入了 20 项 RCT（=1975 例 COPD 患者），PEDro 适应性量表评分在 5 至 9 分之间。荟萃分析的研究结果表明，八段锦在改善运动能力（Hedge's g=0.69，CI 0.44 至 0.94， < 0.001， ² =66%）、FEV₁（Hedge's g=0.47，CI 0.22 至 0.73， < 0.001， ² =68.01%）、FEV₁%（Hedge's g=0.38，CI 0.21 至 0.56， < 0.001， ² =54.74%）、FVC（Hedge's g=0.39，CI 0.22 至 0.56， < 0.001， ² =14.57%）、FEV₁/FVC（Hedge's g=0.5，CI 0.33 至 0.68， < 0.001， ² =53.49%）和 COPD 患者的生活质量（Hedge's g=-0.45，CI -0.77 至 -0.12， < 0.05， ² =77.02%）方面均优于对照组。八段锦运动作为辅助治疗方法，可能有助于改善 COPD 患者的运动能力和肺功能以及生活质量。在常规康复方案的基础上，可考虑将八段锦运动作为 COPD 的辅助治疗方法，以加速康复进程。为了证实八段锦运动对 COPD 患者的积极影响，未来的研究人员需要考虑我们在本文中提出的建议。
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