基于多种健身气功功法对中老年人血脂影响的Meta分析

A meta-analysis on the effects of various kind of Qigong on the blood fat of middle and aged people

目的:系统评价多种健身气功辅助治疗血脂的有效性。方法:依据纳入文献筛选与剔除标准,检索2005年1月至2017年10月中国期刊全文数据库(CNKI)、中文科技期刊全文数据库及万方数据知识平台对关于健身气功对血脂影响的文献检索并下载,并利用Jadad量表对文献进行打分,入选得分≥1的文献,利用RevMan5.3软件进行Meta分析,根据文献气功组和对照组数据进行分析后,绘制森林图并得出相应的结论。结果:本次研究共纳入了血脂的四项常规指标TC、TG、HDL、LDL进行研究,4个结局指标的均差(MD)及95%置信区间(CI)分别为:-0.45[95%CI(-0.72,-0.18),P<0.001]、-0.31[95%CI(-0.37,-0.25),P<0.00001]、0.27[95%CI(0.23,0.31),P<0.00001]、-0.48[(-0.56,-0.40),P<0.00001];亚组分析结果表明,八段锦对中老年人血液TC、LDL降低效果明显,使HDL升高;五禽戏对中老年人血液TC、TG、LDL降低效果明显,使其HDL升高;易筋经对中老年人血液TD、LDL降低效果明显,使HDL升高;马王堆对中老年人血液TG降低效果明显,使HDL升高。结论:健身气功功法对中老年人血脂有较好改善作用。

Objective： to evaluate systematically the effectiveness of various kind of Qi gong’s supportive therapeutic efficacy on the blood fat. Methods： according to the inclusion and exclusion criteria for screening the documents,this paper retrieves and downloads the full-text database about the effects of fitness Qi gong on blood fat published in CNKI,Chinese Science and Technology,Wan fang Data platform from January 2005 to October 2017,draws a forest map and gets some results after Meta-analysis with RevMan 5.3 software. Results： this study includes 4 routine indexes of TC,TG,HDL,LDL,and gets the MD and 95% CI as follow： -0.45（-0.72,-0.18）p〈 0.001,-0.31（-0.37,-0.25）p〈0.00001,0.27（0.23,0.31）p〈 0.00001,-0.48（-0.56,-0.40）p〈0.00001; and subgroup analysis shows that the Baduanjin,Wuqinxi,Yijinjing,and Mawangdui all can decrease the TC,TG,and LDL,increases HDL. Conclusion： every Qi gong has a good effect on the blood fat.