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太极拳练习对原发性高血压影响的临床试验综述:研究设计与质量控制的现状

Review of Clinical Trials on the Effects of Tai Chi Practice on Primary Hypertension: The Current State of Study Design and Quality Control.

作者信息

Teng Yuke, Yang Sha, Chen Yuan, Guo Yuyi, Hu Yushi, Zhang Pan, Cao Jingya, Zhang Xinyue, Chen Yalan, Jiang Caili, Liu Tianyu, Zeng Fang

机构信息

Acupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

International Education School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

出版信息

Evid Based Complement Alternat Med. 2020 Dec 30;2020:6637489. doi: 10.1155/2020/6637489. eCollection 2020.

DOI:10.1155/2020/6637489
PMID:33456486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7787759/
Abstract

The modulation of Tai Chi in physiological function and psychological status attracts sustaining attention. This paper collected original articles regarding the effects of Tai Chi practice on modulating primary hypertension from 7 electronic databases (PubMed, Excerpta Medica Database, Cochrane Library, Web of Science, Chinese Knowledge Resource Integrated Database, Wanfang Database, and China Science and Technology Journal Database) from their dates of origin to October 1st, 2020. A total of 45 articles were included. The literature analyses have shown that the benefits of Tai Chi practice for blood pressure management have been identified in all of the included 45 studies, and Tai Chi exercise has shown significant efficacy in improving hypertension clinical symptoms and quality of life, compared to the majority of control interventions, though there are also some methodological issues, including small sample sizes, lack of exact randomization methods and quality control criteria, and lack of specific standards used to measure the characteristics of Tai Chi practice. In the future, the inclusion of additional design standards, stricter quality controls, and evaluation measures for the features of Tai Chi practice is required in trials evaluating its effects on hypertension.

摘要

太极拳对生理功能和心理状态的调节作用一直备受关注。本文从7个电子数据库(PubMed、医学文摘数据库、考克兰图书馆、科学引文索引数据库、中国知网、万方数据库和中国科技期刊数据库)中收集了从各数据库建库至2020年10月1日期间关于太极拳练习对原发性高血压调节作用的原始文章。共纳入45篇文章。文献分析表明,在纳入的所有45项研究中均已确定太极拳练习对血压管理有益,并且与大多数对照干预措施相比,太极拳运动在改善高血压临床症状和生活质量方面显示出显著疗效,不过也存在一些方法学问题,包括样本量小、缺乏确切的随机化方法和质量控制标准,以及缺乏用于衡量太极拳练习特点的具体标准。未来,在评估太极拳对高血压影响的试验中,需要纳入更多的设计标准、更严格的质量控制以及针对太极拳练习特点的评估措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/c35605088f1b/ECAM2020-6637489.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/f83ff2fa70c4/ECAM2020-6637489.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/75abbc690006/ECAM2020-6637489.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/a0eb3d7b7c07/ECAM2020-6637489.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/c35605088f1b/ECAM2020-6637489.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/f83ff2fa70c4/ECAM2020-6637489.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/75abbc690006/ECAM2020-6637489.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/a0eb3d7b7c07/ECAM2020-6637489.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fa/7787759/c35605088f1b/ECAM2020-6637489.004.jpg

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