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一项关于运动康复护理对慢性心力衰竭患者心功能影响的荟萃分析。

A Meta-Analysis of the Effect of Exercise Rehabilitation Care on Cardiac Function in Patients with Chronic Heart Failure.

机构信息

Outpatient Department, The Fourth Medical Center of Beijing People's Liberation Army General Hospital, Beijing 100048, China.

出版信息

Contrast Media Mol Imaging. 2022 Jul 4;2022:2507680. doi: 10.1155/2022/2507680. eCollection 2022.

DOI:10.1155/2022/2507680
PMID:35873666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9273468/
Abstract

AIMS

Effect of systematic exercise rehabilitation nursing on patients with chronic heart failure.

MATERIALS AND METHODS

From January 1, 2021, to March 22, 2006, a comprehensive search was conducted on China Knowledge Network (CNKI), Wanfang, VIPERS (VIP), China Biomedical Literature Database (CBM), PubMed, Cochrane Library, EMBASE library database, and clinical registry to obtain the literature on the impact of exercise rehabilitation nursing on cardiac function of patients with chronic heart failure. From January 1, 2006, to March 22, 2021, the literature of randomized controlled trials (RCTs) on the effect of exercise rehabilitation nursing on cardiac function in patients with chronic heart failure was collected. According to the inclusion and exclusion criteria, literature screening, data extraction, and quality evaluation were carried out. Cochrane system assessor manual version 5.0 was used for quality assessment, and Review Manager Version 5.3 was used for meta-analysis.

RESULTS

A total of 9 articles were included, including 752 patients. Meta-analysis showed that exercise rehabilitation nursing had a significant effect on cardiac function indexes (LVESV, LVEF, CRP, BNP, and LVEDV) in patients with chronic heart failure ( < 0.05).

CONCLUSION

Exercise rehabilitation nursing has a good effect on improving cardiac function in patients with chronic heart failure. It can improve cardiac function indexes such as left ventricular end-systolic volume, right ventricular ejection fraction, brain natriuretic peptide, and left ventricular end-diastolic volume in patients with chronic heart failure.

摘要

目的

系统运动康复护理对慢性心力衰竭患者的影响。

材料与方法

2021 年 1 月 1 日至 2006 年 3 月 22 日，在中国知网（CNKI）、万方、维普（VIP）、中国生物医学文献数据库（CBM）、PubMed、Cochrane 图书馆、EMBASE 图书馆数据库和临床注册中心全面检索关于运动康复护理对慢性心力衰竭患者心功能影响的文献。2006 年 1 月 1 日至 2021 年 3 月 22 日，检索关于运动康复护理对慢性心力衰竭患者心功能影响的随机对照试验（RCT）文献。根据纳入和排除标准，进行文献筛选、数据提取和质量评价。采用 Cochrane 系统评价员手册 5.0 版进行质量评价，采用 Review Manager Version 5.3 进行荟萃分析。

结果

共纳入 9 篇文献，共 752 例患者。荟萃分析显示，运动康复护理对慢性心力衰竭患者的心功能指标（LVESV、LVEF、CRP、BNP 和 LVEDV）有显著影响（<0.05）。

结论

运动康复护理对改善慢性心力衰竭患者的心功能有良好效果，可改善慢性心力衰竭患者的左心室收缩末期容积、右心室射血分数、脑钠肽和左心室舒张末期容积等心功能指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/880b52caa034/CMMI2022-2507680.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/c1a023f8a78f/CMMI2022-2507680.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/e279e80bad92/CMMI2022-2507680.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/da2cc186b65a/CMMI2022-2507680.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/1cedd7e2175d/CMMI2022-2507680.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/035a5786b535/CMMI2022-2507680.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/43e8b4110100/CMMI2022-2507680.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/553ee82a1721/CMMI2022-2507680.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/880b52caa034/CMMI2022-2507680.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/c1a023f8a78f/CMMI2022-2507680.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/e279e80bad92/CMMI2022-2507680.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/da2cc186b65a/CMMI2022-2507680.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/1cedd7e2175d/CMMI2022-2507680.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/035a5786b535/CMMI2022-2507680.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/43e8b4110100/CMMI2022-2507680.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/553ee82a1721/CMMI2022-2507680.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e4/9273468/880b52caa034/CMMI2022-2507680.008.jpg

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