Wu Yue, Wang Hong
School of Graduate, Wuhan Sports University, Wuhan 430079, China.
School of Wushu, Wuhan Sports University, Wuhan 430079, China.
Int J Cardiol Heart Vasc. 2025 Aug 20;60:101778. doi: 10.1016/j.ijcha.2025.101778. eCollection 2025 Oct.
The systematic -analysis was conducted to evaluate the clinical efficacy of Traditional Chinese Exercises (TCE) in the rehabilitation of patients with chronic heart failure (CHF). The findings provide evidence-based support for the implementation of non-pharmacological interventions in the management of CHF. A systematic search of PubMed, Web of Science, Cochrane Library, and Embase (up to November 2024) identified RCTs evaluating Traditional Chinese Exercise (TCE) for chronic heart failure rehabilitation. The Cochrane Risk of Bias Tool assessed study quality. RevMan 5.4 calculated mean differences (MD) with 95 % CIs; heterogeneity was evaluated using the I statistic (P < 0.05). Fifteen RCTs involving 1,132 patients (573 intervention, 559 control) were included. Meta-analysis revealed that TCE significantly improved CHF outcomes: reduced BNP levels (MD=-38.34, 95 %CI:[-54.88, -21.79], P < 0.00001), increased 6-minute walking distance (MD = 49.75, 95 % CI:[33.86,65.65], P < 0.00001), elevated LVEF (MD = 2.91, 95 % CI:[1.32,4.50], P = 0.0003), and lowered MLHFQ scores (MD = -9.58, 95 % CI:[ -12.75, -6.40], P < 0.00001). NT-pro BNP levels also decreased significantly (MD = -547.14, 95 % CI:[ -698.38, -395.90], P = 0.0001). This -analysis demonstrates that traditional Chinese exercises (including Tai Chi, Baduanjin, and Liuzijue) as adjunctive rehabilitation for chronic heart failure patients yield significant clinical benefits compared to conventional treatment alone. The interventions showed marked improvements in cardiac function parameters (BNP, NT-proBNP, and LVEF levels), exercise capacity (6MWT assessment), and quality of life (MLHFQ scores). These findings provide robust evidence for integrating traditional Chinese exercises into comprehensive rehabilitation management for chronic heart failure patients.
进行了系统分析，以评估传统中医运动（TCE）在慢性心力衰竭（CHF）患者康复中的临床疗效。这些发现为在CHF管理中实施非药物干预提供了循证支持。对PubMed、科学网、Cochrane图书馆和Embase（截至2024年11月）进行系统检索，确定了评估传统中医运动（TCE）用于慢性心力衰竭康复的随机对照试验（RCT）。使用Cochrane偏倚风险工具评估研究质量。RevMan 5.4计算了95%置信区间（CI）的平均差（MD）；使用I统计量评估异质性（P<0.05）。纳入了15项涉及1132例患者（573例干预组，559例对照组）的随机对照试验。荟萃分析显示，传统中医运动显著改善了CHF结局：降低了脑钠肽（BNP）水平（MD=-38.34，95%CI：[-54.88，-21.79]，P<0.00001），增加了6分钟步行距离（MD=49.75，95%CI：[33.86，65.65]，P<0.00001），提高了左心室射血分数（LVEF）（MD=2.91，95%CI：[1.32，4.50]，P=0.0003），并降低了明尼苏达心力衰竭生活质量量表（MLHFQ）评分（MD=-9.58，95%CI：[-12.75，-6.40]，P<0.00001）。N末端脑钠肽前体（NT-pro BNP）水平也显著降低（MD=-547.14，95%CI：[-698.38，-395.90]，P=0.0001）。该分析表明，与单纯常规治疗相比，传统中医运动（包括太极拳、八段锦和六字诀）作为慢性心力衰竭患者的辅助康复方法产生了显著的临床益处。这些干预措施在心脏功能参数（BNP、NT-proBNP和LVEF水平）、运动能力（6分钟步行试验评估）和生活质量（MLHFQ评分）方面显示出显著改善。这些发现为将传统中医运动纳入慢性心力衰竭患者的综合康复管理提供了有力证据。
