Department of Physical Education, Northwestern Polytechnical University, Xi'an 710072, China.
Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China.
Int J Environ Res Public Health. 2018 Dec 28;16(1):72. doi: 10.3390/ijerph16010072.
: This study is the first meta-analysis investigating the rehabilitative effects of Wuqinxi for patients with chronic obstructive pulmonary disease (COPD). : Five electronic databases (PubMed, Web of Science, Scopus, CNKI, and Wanfang) from inception until early November 2018 were searched. All randomized controlled trials (RCT) using Wuqinxi as the main intervention component were included for meta-analysis. The pooled effect sizes (Standardized mean difference, SMD) were calculated to determine the magnitude of the Wuqinxi intervention effect. Moderator analysis was only conducted for total training time. : Overall results of the meta-analysis indicated that Wuqinxi exercise significantly improved exercise capability ( = 1.18, 95% CI 0.53 to 1.84, < 0.001, ² = 84.97%), FEV1 ( = 0.44, 95% CI 0.12 to 0.77, < 0.001, ² = 33.77%), FEV1% ( = 0.59, 95% CI 0.24 to 0.93, < 0.001, ² = 63.79%), FEV1/FVC ( = 0.65, 95% CI 0.37 to 0.93, = 0.006, ² = 44.32%) and CCQ ( = 1.23, 95% CI 0.31 to 2.14, = 0.01, ² = 93.32%). : With no occurrence of adverse event, clinicians could try to incorporate Wuqinxi exercise into their first-line rehabilitation regime for COPD patients.
这是第一项关于五禽戏对慢性阻塞性肺疾病（COPD）患者康复效果的荟萃分析研究。我们检索了从建库至 2018 年 11 月初的 5 个电子数据库（PubMed、Web of Science、Scopus、中国知网和万方数据知识服务平台），纳入所有使用五禽戏作为主要干预手段的随机对照试验（RCT）进行荟萃分析。采用标准化均数差（SMD）计算合并效应量，以评估五禽戏干预的效果大小。仅对总训练时间进行了调节分析。荟萃分析的总体结果表明，五禽戏运动显著提高了运动能力（SMD = 1.18，95%CI 0.53 至 1.84， < 0.001，² = 84.97%）、FEV1（SMD = 0.44，95%CI 0.12 至 0.77， < 0.001，² = 33.77%）、FEV1%（SMD = 0.59，95%CI 0.24 至 0.93， < 0.001，² = 63.79%）、FEV1/FVC（SMD = 0.65，95%CI 0.37 至 0.93， = 0.006，² = 44.32%）和 CCQ（SMD = 1.23，95%CI 0.31 至 2.14， = 0.01，² = 93.32%）。五禽戏没有发生不良反应，因此，临床医生可以考虑将其纳入 COPD 患者的一线康复治疗方案中。
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