先天性心脏病患儿运动疗法效果的系统评价

The effects of exercise therapy in children with congenital heart disease：a systematic review

目的 系统评价先天性心脏病（CHD）患儿进行运动疗法的效果.方法 检索PubMed、Medline、Science Direct、Embase、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,筛选出CHD患儿进行运动疗法的随机对照试验文献,进行文献质量评价后,采用RevMan5.3软件进行数据分析.结果 共纳入10项随机对照试验,Meta分析结果显示,与常规护理措施相比,进行运动疗法能够提高患儿的峰值摄氧量（MD=4.82,95%CI2.25-7.39,P=0.0002）及术后配合度（RR=2.84,95%CI1.75-4.63,P〈0.01）,缩短术后住院时间（MD=-4.41,95%CI-6.15--2.68,P〈0.01）.结论 对CHD患儿实施运动疗法能够改善其心肺功能和生命质量,缩短术后住院时间,提高其术后配合度.但目前开展的相关研究较少,还需大样本、长时间的随机对照试验来进一步确认运动疗法的干预效果.

Objective To evaluate the effects of exercise therapy in children with congenital heart disease. Methods To search databases such as PubMed, Medline, Science Direct, Embase, Cochrane Library, China National Knowledge Infrastructure, WanFang, VIP, China Biology Medicine for all the randomized controlled trials. After evaluating the quality of each article, the software of RevMan 5.3 were used to analyze. Results A total of 10 randomized controlled trials were included. Compared with the routine nursing, meta-analysis showed that exercise therapy can improve the peak oxygen uptake（MD=4.82,95%CI 2.25-7.39, P=0.0002） and the postoperative compliance （RR=2.84, 95%CI 1.75-4.63, P〈0.01）, shorten the postoperative hospital time（MD=- 4.41,95% CI - 6.15-- 2.68, P 〈0.01）. Conclusions Exercise therapy can improve the pulmonary function and quality of life on children with congenital heart disease, shorten the postoperative hospital time, increasing the postoperative compliance. However, there were few research on present, so we need a large sample randomized controlled trials of long time to confirm the effects of exercise therapy.