呼吸练习对慢性阻塞性肺疾病患者的疗效比较。
Comparative effectiveness of breathing exercises in patients with chronic obstructive pulmonary disease.
机构信息
Department of Surgical and Medical Sciences, University of Catanzaro "Magna Graecia", Italy.
Department of Surgical and Medical Sciences, University of Catanzaro "Magna Graecia", Italy.
出版信息
Complement Ther Clin Pract. 2020 Nov;41:101260. doi: 10.1016/j.ctcp.2020.101260. Epub 2020 Nov 17.
BACKGROUND AND PURPOSE
This study aims to determine the best choice of breathing exercises (BE) for patients with chronic obstructive pulmonary disease (COPD) via a network meta-analysis.
METHODS
We searched randomized controlled trials (RCTs) of adults with COPD investigating any BEs in MEDLINE, Embase, Cochrane Library, and ClinicalTrials.gov databases. The effects of comparative treatment on the St. George Respiratory Questionnaire as the outcome were analysed and ranked according to a surface under the cumulative classification curve (SUCRA) analysis.
RESULTS
The network meta-analysis included six RCTs involving 280 patients with four intervention groups, comprising control, diaphragmatic breathing training (DBT), yoga, and singing course. Performing SUCRA, we reported that yoga is 75% likely to be the best treatment available as DBT with 66%, instead of 35% for singing and 21% for control.
CONCLUSION
DBT and yoga seem to be the best choices for breathing exercises in people with COPD.
背景与目的
本研究旨在通过网络荟萃分析确定慢性阻塞性肺疾病（COPD）患者最佳的呼吸练习（BE）选择。
方法
我们检索了 MEDLINE、Embase、Cochrane 图书馆和 ClinicalTrials.gov 数据库中关于任何 BE 的成人 COPD 随机对照试验（RCT）。根据累积排序曲线下面积（SUCRA）分析，对比较治疗对圣乔治呼吸问卷的影响进行了分析和排名。
结果
网络荟萃分析纳入了 6 项 RCT，涉及 280 名 COPD 患者，分为对照组、膈式呼吸训练（DBT）、瑜伽和唱歌课程 4 个干预组。进行 SUCRA 分析后，我们报告瑜伽是最可能的最佳治疗方法，其有效性为 75%，而 DBT 为 66%，唱歌为 35%，对照组为 21%。
结论
DBT 和瑜伽似乎是 COPD 患者呼吸练习的最佳选择。
Zotero 插件