健身气功五禽戏治疗老年性骨质疏松症Meta分析

Meta-analysis of Fitness Qigong Wuqinxi in the Treatment of Senile Osteoporosis

目的:评价健身气功五禽戏治疗老年性骨质疏松的疗效。方法:计算机检索有关健身气功治疗老年原发性骨质疏松症的随机对照试验(RCT),用Cochrane协作网提供的RevMan 5.3软件进行Meta分析。结果:筛选出8篇文献共765名患者,其中五禽戏组较对照组的腰椎骨密度比较差异有统计学意义,MD=0.08,95%CI(0.04,0.12),P=0.000 2。五禽戏组较对照组的股骨颈骨密度比较差异有统计学意义,MD=0.12,95%CI(0.00,0.23),P=0.04。五禽戏组较对照组的VAS疼痛评分有统计学意义,MD=-0.93,95%CI(-1.12,-0.74),P<0.000 01。结论:健身气功五禽戏对于减缓老年性骨质疏松,降低患者疼痛有一定疗效。但由于纳入的研究对象数量有限,需要更多高质量治疗文献支持这一结论。

Objective:To evaluate the effect of fitness qigong wuqinxi on senile osteoporosis.Methods:a randomized controlled trial(RCT) on exercise qigong for the treatment of primary osteoporosis in the elderly was searched by computer,and meta-analysis was performed using the RevMan 5.3 software provided by the Cochrane collaboration.Results:a total of 765 patients were enrolled in 8 articles,among which the lumbar vertebrae density in the wuqinxi group was significantly different from that in the control group(MD=0.08,95%CI(0.04,0.12),P=0.000 2).There were statistically significant differences in neck of femoral bone density between the wuqinxi group and the control group(MD=0.12,95%CI(0.00,0.23),P=0.04).Compared with the control group,the VAS pain scores in the wuqinxi group were statistically significant,MD=-0.93,95%CI(-1.12,-0.74),P<0.000 01.Conclusion:The exercise qigong wuqinxi has certain curative effect on relieving senile osteoporosis and reducing pain.However,due to the limited number of the included subjects,more high-quality treatment literatures are needed to support this conclusion.