Effect of Baduanjin on rehabilitation of patients with coronary heart disease:A meta-analysis of 8 randomized controlled trials

背景:八段锦作为国家体育总局推荐的传统康复运动之一,被广泛应用于冠心病的防治中。为了系统地评价八段锦对冠心病患者康复的影响,计算机检索The Cochrane Library、PubMed、EMbase、Web of science、CBM、CNKI、万方数据库和维普数据库,搜集八段锦应用于冠心病患者的随机对照试验,检索时限均为建库至2018年11月份。由2位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan5.3进行Meta分析。结果:纳入8个随机对照实验,共615例患者。相比对照组,八段锦可提高患者的射血分数[MD=2.99,95%CI(1.54,4.45),P<0.001],增加六分钟步行距离[SMD=2.29,95%CI(0.44,4.13),P=0.02],焦虑自评量表、抑郁自评量表评分降低[MD=-5.06,95%CI(-6.63,-3.49),P<0.001]、[MD=-5.12,95%CI(-8.73,-1.50)P=0.006]。结论:当前研究结果显示,八段锦能改善患者心肺功能、提高患者运动耐量、缓解患者不良情绪。

Backgroud:As one of the traditional rehabilitation exercises recommended by the State Sports General Administration,Baduanjin is widely used in the prevention and treatment of coronary heart disease.To systematically evaluate the impact of Baduanjin exercise on rehabilitation of patients with coronary heart disease.A search in Cochrane Library,PubMed,EMbase,Web of science,China Biology Medicine disc(CBM),CNKI,Wan Fang Date and VIP database was performed in order to collect randomized controlled trials(RCTs)of Baduanjin in patients with coronary heart disease from inception to November 2018.Two reviewers independently screened literatures,extracted data and assessed risk of bias of included studies,then,meta-analysis was performed by using RevMan 5.3.Results:A total of 8 RCTs including 615 patients were considered.Compared with the control regime,Baduanjin improved the ejection fraction of patients[MD=2.99,95%CI(1.54,4.45),P<0.001],increased the walking distance of six minutes[SMD=2.29,95%CI(0.44,4.13),P=0.02],decreased the score of self-rating anxiety scale and self-rating depression scale[MD=-5.06,95%CI(-6.63,-3.49),P<0.001],[MD=-5.12,95%CI(-8.73,-1.50),P=0.006].Conclusion:The current research results showed that Baduanjin improved cardiopulmonary function and exercise tolerance and alleviated patients’bad mood.