八段锦运动对原发性高血压的影响：一项随机对照试验的荟萃分析。

Effects of Baduanjin exercise on essential hypertension: A meta-analysis of randomized controlled trials.

作者信息

Guan Yuanyuan, Hao Yang, Guan Yun, Wang Hongwu

机构信息

Graduate School, Tianjin University of Traditional Chinese Medicine.

Department of Traditional Chinese Medicine, Tianjin First Central Hospital, Tianjin, China.

出版信息

Medicine (Baltimore). 2020 Aug 7;99(32):e21577. doi: 10.1097/MD.0000000000021577.

OBJECTIVES

To analyze the influence of Baduanjin exercise on blood pressure in patients with essential hypertension.

METHODS

Randomized controlled trials were identified in Chinese and English databases to study the impact of Baduanjin exercise on essential hypertension. Qualified trials were selected and methodologic quality was critically evaluated. Two reviewers selected studies independently of each other.

RESULTS

Twelve trials were included. There was a significant difference between the Baduanjin exercise intervention and control groups with regard to the change in systolic blood pressure (SBP) [SMD = - 1.80, 95% CI (- 2.86, - 0.73), P = .0009] and diastolic blood pressure (DBP) [SMD = -0.22, 95% CI (-2.00, -0.57), P = .0004]. Taking into account the subgroup analyses, the combined results showed that Baduanjin plus Antihypertensive drugs significantly reduced both SBP and DBP over a period > 12 weeks in all studies.

CONCLUSIONS

Compared with control interventions, Baduanjin exercise seems to be an effective physical exercise in treating essential hypertension. Different training durations can lead to different effects.

目的

分析八段锦锻炼对原发性高血压患者血压的影响。

方法

在中国和英文数据库中检索随机对照试验，以研究八段锦锻炼对原发性高血压的影响。选择合格的试验并对方法学质量进行严格评估。两名评价者相互独立地选择研究。

结果

纳入12项试验。八段锦锻炼干预组与对照组在收缩压（SBP）变化[标准化均数差（SMD）=-1.80，95%可信区间（CI）（-2.86，-0.73），P=0.0009]和舒张压（DBP）变化[SMD=-0.22，95%CI（-2.00，-0.57），P=0.0004]方面存在显著差异。考虑亚组分析，综合结果显示，在所有研究中，八段锦联合降压药物在超过12周的时间内显著降低了SBP和DBP。