肺康复训练在慢性阻塞性肺疾病患者中应用效果的Meta分析

Effect of pulmonary rehabilitation program on patients with COPD： a meta analysis

目的系统评价肺康复训练在中重度稳定期慢性阻塞性肺疾病患者中的应用效果。方法计算机检索The Cochrane Library、PubMed和中国学术期刊全文数据库（CNKI）中关于康复训练在慢性阻塞性肺疾病中应用效果的随机对照实验（RCT）。按照纳入与排除标准选择文献、评价文献质量和提取资料，共纳入17个RCT。而后采用RevMan5．0．2软件进行Meta分析。结果肺康复训练能够提高患者的运动耐力、生活质量，改善血氧状况和肺功能，减轻呼吸困难和疲劳症状，提高了患者的舒适度。结论肺康复训练对慢性阻塞性肺疾病患者的治疗和护理具有显著意义，是一项值得学习和推广的运动。

Objective To systematically evaluate the type and magnitude of effectiveness of pulmonary rehabilitation program on patients diagnosed with chronic obstructive pulmonary disease （COPD） in none-acute phases. Methods Two investigators independently searched three databases including Coehrane library, Pub Med and CNKI to collect randomized controlled trials about Pulmonary Rehabilitation Program on COPD Patients. A total of 17 trials were included. The quality of these RCTs was evaluated by two investigators and the combination of study results was conducted using RevMan 5.0.2 software. Results Pulmonary Rehabilitation Program could improve COPD patients＇ exercise tolerance, quality of life, lung function and blood oxygen level. It was also beneficial to patients＂ discomforts including dyspnea and fatigue. Conclusions The meta-analysis had identified a significant effect of pulmonary rehabilitation program on COPD patients, so nurses are suggested to integrate effective programs into clinical practice.