Wang Rui, Huang Xueyan, Wu Yeqi, Sun Dai
Department of Massage, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Front Med (Lausanne). 2021 Jun 22;8:684058. doi: 10.3389/fmed.2021.684058. eCollection 2021.
Several studies suggested that Qigong exercise (QE) can relieve fatigue in patients diagnosed with various diseases. Our review aimed to evaluate the efficacy of QE for alleviating fatigue. A related literature search was performed in the PubMed, Web of Science, Embase, Cochrane Library, China Biology Medicine disc (CBM), China National Knowledge Infrastructure (CNKI), Wanfang, and VIP data bases from inception to November 2020. Information on fatigue, malaise, tiredness, and Qigong research data was collected. Sixteen randomized controlled trials (RCTs) were reported in patients with cancer ( = 4), chronic fatigue syndrome ( = 2), and other diseases ( = 10). The QE groups showed significant improvements in total fatigue intensity [15 RCTs, < 0.00001; standard mean difference (SMD) -0.69 (-0.95 to -0.44)]. The QE groups did not show significant improvement in quality of life [4 RCTs, = 0.08; SMD 0.53 (-0.07 to 1.14)]. The statistically significant difference of the subgroup analyses (different primary diseases, QE types, and study quality) also remained unchanged. The findings of this meta-analysis indicate that QE may be beneficial for improving fatigue in patients diagnosed with various diseases. Considering the limitations of the study, we draw a very cautious conclusion regarding the resulting estimate of the effect. Further studies are warranted to better understand the benefits of QE in primary medical care.
多项研究表明，气功锻炼（QE）可缓解被诊断患有各种疾病的患者的疲劳。我们的综述旨在评估气功锻炼缓解疲劳的疗效。从创刊至2020年11月，在PubMed、科学网、Embase、Cochrane图书馆、中国生物医学光盘数据库（CBM）、中国知网（CNKI）、万方和维普数据库中进行了相关文献检索。收集了有关疲劳、不适、疲倦和气功研究数据的信息。报告了16项针对癌症患者（n = 4）、慢性疲劳综合征患者（n = 2）和其他疾病患者（n = 10）的随机对照试验（RCT）。气功锻炼组在总疲劳强度方面有显著改善[15项RCT，P < 0.00001；标准平均差（SMD）-0.69（-0.95至-0.44）]。气功锻炼组在生活质量方面未显示出显著改善[4项RCT，P = 0.08；SMD 0.53（-0.07至1.14）]。亚组分析（不同的原发性疾病、气功锻炼类型和研究质量）的统计学显著差异也保持不变。这项荟萃分析的结果表明，气功锻炼可能有助于改善被诊断患有各种疾病的患者的疲劳。考虑到研究的局限性，我们对所得效应估计得出了非常谨慎的结论。有必要进行进一步的研究，以更好地了解气功锻炼在初级医疗保健中的益处。
