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八段锦运动对经皮冠状动脉介入治疗后冠心病患者心脏康复的影响:系统评价和随机对照试验的荟萃分析方案。

Cardiac rehabilitation of Baduanjin exercise in coronary heart disease after PCI: A protocol for systematic review and meta-analysis of randomized controlled trials.

机构信息

Department of Graduate School, Beijing University of Chinese Medicine.

Department of Cardiology, Dongfang Hospital, Beijing University of Chinese Medicine.

出版信息

Medicine (Baltimore). 2021 Apr 16;100(15):e25501. doi: 10.1097/MD.0000000000025501.

Abstract

BACKGROUND

Percutaneous coronary intervention (PCI) is an effective revascularization strategy in patients with coronary heart disease (CHD). However, recent studies had indicated that postPCI patients usually suffer from a low-quality life. Cardiac rehabilitation (CR) has been recommended by numerous guidelines in the clinic for these patients. And Baduanjin exercise can significantly benefit patients with CHD. Regrettably, the effect of Baduanjin exercise on postPCI patients is still not clear. Therefore, this systematic review and meta-analysis protocol is planned to explore the effect of Baduanjin exercise in patients with CHD who have undergone PCI.

METHODS

PubMed, Excerpta Medica Database, Cochrane Library, Web of Science, Wanfang Database, SINOMED, China Science and Technology Journal Database, and China National Knowledge Infrastructure will be searched for appropriate articles from respective inceptions until December 1th, 2020. Two reviewers will independently conduct article selection, data collection, and risk of bias evaluation. Disagreements will be resolved first by discussion and then by consulting a third author for arbitration. The primary outcome will include left ventricular ejection fraction. And the change in the scores on the Seattle Angina Questionnaire, SF-36 health survey scale, Zung Self-rating Anxiety scale and self-rating depression scale will be used as the secondary outcomes. RevMan 5.3 will be used for meta-analysis.

RESULTS

This systematic review and meta-analysis will explore whether Baduanjin exercise is an effective intervention in postPCI patients.

CONCLUSION

This systematic review and meta-analysis will provide convincing evidence of Baduanjin exercise that specifically focuses on CR of Baduanjin exercise on CHD after PCI.

REGISTRATION NUMBER

INPLASY202130065.

摘要

背景

经皮冠状动脉介入治疗(PCI)是冠心病(CHD)患者有效的血运重建策略。然而,最近的研究表明,PCI 后患者的生活质量通常较低。临床指南推荐心脏康复(CR)用于这些患者。八段锦运动对 CHD 患者有显著益处。遗憾的是,八段锦运动对 PCI 后患者的影响尚不清楚。因此,本系统评价和荟萃分析计划旨在探讨 PCI 后 CHD 患者进行八段锦运动的效果。

方法

从各数据库建库起至 2020 年 12 月 1 日,检索 PubMed、Excerpta Medica Database、Cochrane Library、Web of Science、万方数据库、中国生物医学文献数据库、中国科技期刊数据库和中国知网,寻找合适的文章。两位评审员将独立进行文章筛选、数据收集和偏倚风险评估。如有分歧,首先通过讨论解决,如仍存在分歧,则由第三位评审员仲裁。主要结局指标将包括左心室射血分数。西雅图心绞痛问卷评分、SF-36 健康调查量表、Zung 焦虑自评量表和抑郁自评量表评分的变化将作为次要结局指标。RevMan 5.3 将用于荟萃分析。

结果

本系统评价和荟萃分析将探讨八段锦运动是否是 PCI 后患者的有效干预措施。

结论

本系统评价和荟萃分析将为 PCI 后八段锦运动具体侧重于 CHD 的心脏康复提供有力的证据。

注册号

INPLASY202130065。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bd5/8051988/b0bc8b617575/medi-100-e25501-g001.jpg

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