运动疗法对中老年人群血压影响的网状Meta分析

Meshwork Meta Analysis of Exercise Therapy Effects on Blood Pressure in Middle-aged and Elderly People

为了评价易筋经、五禽戏、八段锦、太极拳对中老年人群高血压的临床疗效性,检索中国知网、万方、维普、Web of Science、EMBASE等中英文数据库,搜索4种中国传统健身运动疗法的随机对照实验,运用Stata15.1进行网状Meta分析。最终共纳入44篇文献,包含52项RCT,4101名受试者。4种传统健身运动疗法改善高血压患者收缩压和舒张压的效果均优于常规治疗组,具有显著性差异P<0.05。在降低收缩压方面SUCRA排序为,易筋经(76.9%)>八段锦(72.6%)>太极拳(69.5%)>五禽戏(30.4%)>常规治疗(0.60%);在降低舒张压方面SUCRA排序为,太极拳(87.8%)>易筋经(68.2%)>八段锦(61.2%)>五禽戏(31.9%)>常规治疗(0.90%)。易筋经对收缩压的改善效果最佳,太极拳对舒张压的改善效果最佳。易筋经、太极拳是很符合老年人群生理特征的传统健身疗法,可作为降低血压水平的非药物治疗方法,倡导中老年人群进行练习。

In order to evaluate the clinical efficacy of Yijinjing,Wuqinxi,Baduanjin and Taijiquan on the hypertension of middle-aged and elderly people.The randomized controlled trials of 4 traditional Chinese fitness and exercise therapies were searched from CNKI,Wanfang,VIP,Web of science,EMBASE and other Chinese and English databases,and the meshwork meta-analysis was conducted by Stata15.1.A total of 44 articles were included,including 52 RCTS and 4101 subjects.The effect of four kinds of traditional body-building exercise therapy on improving systolic and diastolic blood pressure of hypertension patients was superior to that of conventional treatment group,with significant difference P<0.05.In terms of reducing systolic blood pressure,the order of SUCRA was Yijinjing(76.9%)>Baduanjin(72.6%)>Taijiquan(69.5%)>Wuqinxi(30.4%)>conventional treatment(0.60%);the order of SUCRA in reducing diastolic blood pressure was Taijiquan(87.8%)>Yijinjing(68.2%)>Baduanjin(61.2%)>Wuqinxi(31.9%)>conventional treatment(0.90%).Yijinjing has the best effect on improving systolic blood pressure,and Taijiquan has the best effect on improving diastolic blood pressure.Yijinjing,Taijiquanis in line with the physiological characteristics of the elderly population of the traditional fitness therapy,can be used as a non-drug treatment to reduce blood pressure level,advocate middle-aged and elderly people to do practice.