八段锦对中老年人生理机能影响的Meta分析

Effect of Baduanjin on Physiological Function of the Middle Aged and Elderly People:A Meta-Analysis

为了系统评价八段锦对中老年人生理机能和血脂的影响,通过检索PubMed,Web of Science,EMbase,Springer Link,CNKI,CBM等数据库收集文献,提取文献信息并用RevMan 5.2软件进行Meta分析.结果显示,八段锦组在降低收缩压(MD=-6.87,95%CI(-9.15,-4.60),P<0.000 01)、舒张压(MD=-4.07,95%CI(-5.94,-2.19),P<0.000 1),增加肺活量(MD=393.15,95%CI(102.62,683.68),P=0.008),减少降低血清TC(MD=-0.60,95%CI(-1.07,-0.12),P=0.01)、血清TG(MD=-0.23,95%CI(-0.32,-0.14),P<0.000 01)、血清LDL-C(MD=-0.31,9 5%CI(-0.57,-0.05),P=0.02),增加血清HDL-C(MD=0.19,95%CI(0.06,0.32),P=0.003)方面均优于对照组,差异显著.可见八段锦能够改善中老年人的生理机能和血脂水平,能作为高血压、高血脂等老年性疾病的预防和治疗手段.

To objectively evaluate the effectiveness of Baduanjin, the health qigong, on the physiological functions of and blood lipid in the middle aged and elderly people,databases such as PubMed,Web of Sci ence, EMbase, CBM, CNKI were electronically searched to collect the randomized controlled trials （RCT） published from January 2000 to December 2013. Meta-analyses were performed by using RevMan 5. 2 soft ware. The results showed that the Baduanjin group was superior to the control group in decreases of systolic pressure （MD=-6.87,95%CI（-9.15,-4.60）,P〈0. 000 01） and diastolic pressure （MD= --4.07,95%CI（--5. 94,--2. 19）,P〈0. 000 1）,increase of vital capacity （MD=393. 15,95%CI （102.62,683.68）,P = 0. 008）, decrease of serum TC （MD = -- 0. 60,95% CI （- 1.07, - 0. 12）, P - 0. 01） , serum TG （MD=--0.23,95%CI（-0. 32,-0. 14）,P〈0. 000 01） and serum LDL-C （MD-- --0.31,95%CI（-0.57-0.05）,P=0.02） ,and increase of serum HDL-C （MD=0. 19,95%（0.06, 0.32） ,P =0. 003） ;and there were statistical differences. It can be concluded that the effects of Baduanjin can improve the physiological functions of the middle aged and elderly people and control their blood lipid level;and thus it can be used as the means for prevention and treatment of hypertension,hyperlipidemia and other age-related diseases.