中医传统功法在心力衰竭患者运动康复中应用的范围综述

Scoping review of application of traditional Chinese medicine exercises in exercise rehabilitation of patients with heart failure

目的对中医传统功法在心力衰竭患者运动康复中应用的相关研究进行范围综述,为临床有效开展中医传统功法干预提供参考。方法计算机检索PubMed、Web of Science、Cochrane Library、Embase、中国知网、维普数据库、万方数据库和中国生物医学文献数据库发表的中英文文献,检索时限为建库至2023年5月28日,以澳大利亚乔安娜布里格斯研究所范围综述指南为方法学框架,对纳入文献进行汇总和分析。结果共纳入19篇文献,其中17篇随机对照试验,2篇类实验研究。干预对象为纽约心脏协会心功能分级Ⅰ~Ⅲ级的心力衰竭患者;功法类型主要包括八段锦、太极拳;干预时间多为每次30 min,频率多为3~5次/周,干预强度多以Borg主观疲劳感知评估量表评分为标准,干预时长多为3个月;实施场景多为"医院-家庭"或居家。中医传统功法对心力衰竭患者的临床症状、心理状态及生活质量具有一定的积极作用,且安全性和可行性较好。结论中医传统功法对心力衰竭患者的运动康复具有积极作用,并具有安全性和可行性。

Objective To conduct scoping review of researches on application of traditional Chinese medicine exercises in exercise rehabilitation of patients with heart failure,so as to provide reference for effective clinical intervention of traditional Chinese medicine exercises.Methods Chinese and English literature published in PubMed,Web of Science,Cochrane Library,Embase,CNKI,VIP,Wanfang Database and China Biology Medicine disc were searched by computer,and the search deadline was from database establishment to May 28,2023.The Joanna Briggs Institute Scoping Review Guide was used as a methodological framework to summarize and analyze the included literature.Results A total of 19 literatures were included,including 17 randomized controlled trials and 2 quasi-randomized controlled trials.The subjects of the intervention were heart failure patients with New York Heart Association heart function gradeⅠtoⅢ.The types of exercises mainly included Eight Pieces of Brocade and Tai Chi.The intervention duration was mostly 30 min each time,and the frequency was mostly 3 to 5 times a week.The intervention intensity was mostly based on The Borg Rating of Perceived Exertion(RPE),and the intervention duration was mostly 3 months.Most of the implementation scenarios were"hospital-home"or home.Traditional Chinese medicine exercises had a positive effect on the clinical symptoms,psychological state and quality of life of patients with heart failure,and were safe and feasible.Conclusions Traditional Chinese medicine exercises have a positive effect on the exercise rehabilitation of patients with heart failure,and are safe and feasible.