Patients with hematological tumors experience physical and psychological stress,and negative psychological states.Baduanjin,an emerging psychological rehabil-itation method combined with resistance exercise,has receiv...Patients with hematological tumors experience physical and psychological stress,and negative psychological states.Baduanjin,an emerging psychological rehabil-itation method combined with resistance exercise,has received widespread attention.This study reviews the current status of the application of Baduanjin combined with resistance exercise in improving the negative psychological state of patients with hematological tumors and discusses its problems and prospects.Through a literature review and comprehensive analysis,the application of Baduanjin and resistance exercise in the psychological rehabilitation of patients with hematological tumors was identified and evaluated.The results showed that Baduanjin with resistance exercise had a positive effect on improving negative psychological states of patients with hematological tumors,which can alleviate anxiety,depression,and other adverse emotions,and improve quality of life.However,there is a lack of unified and standardized exercise intervention programs for practical application,and patient participation and compliance must be improved.Baduanjin combined with resistance exercise can potentially improve the negative psychological status of patients with hematological tumors;however,it is still necessary to further standardize and improve the exercise program improving patient participation and compliance.Future studies should strengthen theoretical exploration and empirical research,providing more effective psychological rehabilitation strategies for patients with hematological tumors.展开更多
To summarize the application and modern studies on health Qigong Baduanjin by domestic and foreign scholars,combined them with clinical practice of mobile hospital in Wuhan,we explore the prevention,treatment,and reco...To summarize the application and modern studies on health Qigong Baduanjin by domestic and foreign scholars,combined them with clinical practice of mobile hospital in Wuhan,we explore the prevention,treatment,and recovery of Baduanjin in the war against COVID‑19.On the basis of studying ancient classics,such as Huangdi’s Internal Classic,and the concrete exercise methods of Baduanjin,we propose three ideas:prevention before disease onset,promoting healing during illness,and strengthening the body after recovery.We aimed to give full play to Baduanjin in the battle against COVID‑19 to popularize correct prevention and health knowledge for the patients and the healthy as well as to provide a reference for medical workers to use Traditional Chinese Medicine to prevention and treatment.展开更多
BACKGROUND Cancer-related fatigue(CRF)is the most common concomitant symptom in the treatment of colorectal cancer(CRC).Such patients often present with subjective fatigue state accompanied by cognitive dysfunction,wh...BACKGROUND Cancer-related fatigue(CRF)is the most common concomitant symptom in the treatment of colorectal cancer(CRC).Such patients often present with subjective fatigue state accompanied by cognitive dysfunction,which seriously affects the quality of life of patients.AIM To explore the effects of cognitive behavior therapy(CBT)combined with Baduanjin exercise on CRF,cognitive impairment,and quality of life in patients with CRC after chemotherapy,and to provide a theoretical basis and practical reference for rehabilitation of CRC after chemotherapy.METHODS Fifty-five patients with CRC after radical resection and chemotherapy were randomly divided into either an experimental or a control group.The experimental group received the intervention of CBT combined with exercise intervention for 6 mo,and indicators were observed and measured at baseline,3 mo,and 6 mo to evaluate the intervention effect.RESULTS Compared with the baseline values,in the experimental group 3 mo after intervention,cognitive function,quality of life score,and P300 amplitude and latency changes were significantly better(P<0.01).Compared with the control group,at 3 mo,the experimental group had significant differences in CRF,P300 amplitude,and quality of life score(P<0.05),as well as significant differences in P300 latency and cognitive function(P<0.01).Compared with the control group,at 6 mo,CRF,P300 amplitude,P300 latency,cognitive function and quality of life score were further improved in the experimental group,with significant differences(P<0.01).The total score of CRF and the scores of each dimension were negatively correlated with quality of life(P<0.05),while the total score of cognitive impairment and the scores of each dimension were positively correlated with quality of life(P<0.05).CONCLUSION CBT combined with body-building Baduanjin exercise can improve CRF and cognitive impairment in CRC patients after chemotherapy,and improve their quality of life.展开更多
Objective:Recently,the effects of Baduanjin(a traditional Chinese mind-body exercise)on diabetes have attracted increasing attention,and relevant systematic reviews(SRs)have emerged.However,the qualities of these SRs ...Objective:Recently,the effects of Baduanjin(a traditional Chinese mind-body exercise)on diabetes have attracted increasing attention,and relevant systematic reviews(SRs)have emerged.However,the qualities of these SRs vary markedly,and their conclusions are inconsistent,which is not conducive to guiding decision-making.We sought to assess the quality of these SRs and provide more evidence for diabetes treatment.Methods:A literature search was conducted in 7 databases from inception to December 1st,2021.SRs of randomized controlled trials investigating the effects of Baduanjin were identified.A Measurement Tool to Assess Systematic Reviews 2(AMSTAR-2)checklist,Preferred Reporting Items for Systematic Review and Meta-analysis(PRISMA)statement,and Grading of Recommendations Assessment,Development and Evaluation(GRADE)system were applied to evaluate the quality of the SRs.Results:Ten SRs were identified.All SRs were judged as critically low methodological quality by the AMSTAR-2 checklist.The total PRISMA score of the included SRs ranged from 15 to 21,and the mean score was 18.60(1.90),indicating that all SRs had partial reporting deficits.Sixty outcomes were reported in the included studies,of which 25(41.67%)were judged as low quality,and 34(56.67%)as very low quality according to the GRADE system,indicating that the overall evidence quality of outcomes was not high.Conclusion:Baduanjin seems to be an effective therapy for diabetes in improving glucose and lipid metabolism,mental health,quality of life,and waist-hip ratio(WHR).The overall quality of the SRs was less than optimal.This conclusion should be treated with caution,and researchers should conduct higher-quality clinical studies following AMSTAR-2checklist,PRISMA statement,and GRADE system in the future.展开更多
BACKGROUND With the change in people’s lifestyles,the incidence of colorectal cancer(CRC)is increasing.It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC.AIM ...BACKGROUND With the change in people’s lifestyles,the incidence of colorectal cancer(CRC)is increasing.It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC.AIM To investigate the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC.METHODS A total of 120 patients with CRC who were admitted to our hospital from June 2020 to June 2021 were included in the study.They were randomly divided into four groups(n=30):the control group(group A),the biofeedback therapy intervention group(group B),the Baduanjin exercise intervention group(group C),and the combination group(group D).Patients in group A adopted the standard nursing mode and necessary health education.Patients in group B were treated with biofeedback therapy based on routine nursing care.Patients in group C were given Baduanjin intervention for 12 wk based on conventional drug treatment and care.Patients in group D were treated with biofeedback therapy and Baduanjin exercise.In this study,patients’quality of life,gastrointestinal hormone levels,and clinical efficacy in the four groups were observed at baseline and 12 wk after intervention.Meanwhile,the correlation between gastrointestinal hormone levels and various functional areas of quality of life was analyzed.By comparing the observed indicators of patients in the four groups,the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC was explored.RESULTS At baseline,there were no significant differences in quality of life,gastrointestinal hormone levels,or clinical efficacy among the four groups(P>0.05).Twelve weeks after the intervention,the combination group’s quality of life,gastrointestinal hormone levels,and clinical effectiveness were better than those of the three other groups.CONCLUSION On the basis of routine nursing care,patients with CRC combined with biofeedback therapy and Baduanjin exercise can improve the quality of life of patients with CRC and the efficacy of gastrointestinal hormone levels.展开更多
Introduction:Patients with functional ankle instability(FAI)have problems with joint control,balance,gait,and postural symmetry.Baduanjin is a type of traditional Chinese exercise that has been shown to be effective i...Introduction:Patients with functional ankle instability(FAI)have problems with joint control,balance,gait,and postural symmetry.Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms.However,to date,the effect of Baduanjin in patients with FAI has not been proved.This pilot trial is an assessor-blinded randomized controlled trial,and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI.Methods:Seventy-two participants,who are eligible according to specified inclusion and exclusion criteria,will be randomized(in a 1:1 ratio),using a random number table,into two groups:a Baduanjin group and a conventional treatment group.The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy.Participants’exercise programs will be implemented for 4 weeks(5 days a week).All participants will be assessed at baseline,and after two and 4 weeks of treatment.The surface electromyography results of the bilateral erector spinae,tibialis anterior,and peroneus longus will be the primary outcomes,while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes.Ethics and Dissemination:The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital,the First Affiliated Hospital of Beijing University of Chinese Medicine(no.DZMEC-KY-2019-18),and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki.The findings of this study will be submitted for publication in peer-reviewed journals.The results will also be disseminated to the participants via phone calls or e-mail.展开更多
Objective:To determine the effect of Baduanjin combined rehabilitation therapy on stroke patients through systematic review and Meta-analysis.Method:computer retrieval Embase and PubMed,Cochrane Library,Clonal,MBJ Jou...Objective:To determine the effect of Baduanjin combined rehabilitation therapy on stroke patients through systematic review and Meta-analysis.Method:computer retrieval Embase and PubMed,Cochrane Library,Clonal,MBJ Journals,CNKI,Web of Science,China resources pool,Weipu Chinese science and technology journal(VIP),service system of Chinese biomedical literature database(CBM),a database of ten thousand Chinese and English in about Baduanjin to the rehabilitation effect of patients with cerebral apoplexy randomized controlled experiment(RCT),are built from library retrieval time until 31 December 2020.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included studies.RevMan5.3 software and Pedro scale were used to conduct literature quality evaluation and statistical analysis of the study data.For indicators with significant heterogeneity,the heterogeneity was reduced by excluding some literature deviating from the forest map,and then the pooled analysis was performed.Meanwhile,funnel plots were drawn to analyze the publication bias of the included studies.Results:(1)A total of 114 literatures were obtained,and 27 studies,including 23 Chinese literatures and 4 English literatures,with a total of 2526 patients,were obtained after eliminating duplicates and those failing to meet the inclusion criteria.There were 12 outcome indicators involved.(2)Quality evaluation showed that 23 literatures were grade A,4 literatures were grade B,16 literatures used simple random method,4 literatures used random number table method,and 4 literatures used hidden blind assignment method.No selective reporting was found in all the included literatures.(3)Meta-analysis results show that the daily life activities ability(MD=10.10,95%CI:8.75-11.45,P<0.00001),treatment effectiveness(RR=1.1,95%CI:0.99-1.23,P=0.07),depression(SMD=1.34,95%CI:2.59-0.08,P=0.04),(BBS MD=8.58,95%CI:4.97-12.2,P<0.00001),defecate integral(MD=0.65,95%CI:0.92-0.38,P<0.00001),mental health(SMD=0.34,95%CI:1.6-0.93,P=0.6),a balance(MD=6.09,95%CI:5.76-6.43,P<0.00001),the ability to walk(MD=0.7,95%CI:0.43-0.97,P<0.00001),lower limb FMA(MD=5.69,95%CI:4.66-6.72,P<0.00001),upper limb FMA(MD=3.42,95%CI:1.53-5.3,P<0.00004).SF-36(SMD=0.65,95%CI:0.91-2.21,P=0.41),and BERG(MD=10.43,95%CI:9.02-11.48,P<0.00001),the onset of FMA contrast(MD=4.77,95%CI:3.45-6.1,P<0.00001).Conclusion:Baduanjin movement as a method of auxiliary and security can help stroke patients get the best curative effect,through the evidence-based analysis can be concluded that the Baduanjin combined rehabilitation therapy for cerebral apoplexy patients postoperative balance function,improved degree of depression,integral,defecate daily life activities ability and psychological health are greatly improved,and can significantly improve the quality of life of patients with clinically and promote patients recover.展开更多
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...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。展开更多
目的:采用网状Meta分析法评价中国传统功法(CTE)治疗膝骨关节炎(KOA)的效果。方法:检索PubMed、Web of Science、Embase、Cochrane Library、国家知识基础设施数据库(CNKI)、中文科技期刊数据库(CCD)中国学术期刊数据库(CSPD)和中国生...目的:采用网状Meta分析法评价中国传统功法(CTE)治疗膝骨关节炎(KOA)的效果。方法:检索PubMed、Web of Science、Embase、Cochrane Library、国家知识基础设施数据库(CNKI)、中文科技期刊数据库(CCD)中国学术期刊数据库(CSPD)和中国生物医学文献数据库(SinoMed)中发表的CTE治疗KOA的随机对照试验(Randomized Controlled Trials,RCT),检索时间截至2022年8月。结局指标包括骨关节炎指数(WOMAC)、VAS。用Cochrane偏倚风险评估工具ROB2对纳入文献进行偏倚风险评估。用Revman5.4对文献进行质量评价,制作文献风险偏倚图;用Stata16.0进行Meta分析,当结局指标纳入文献数量≥10,绘制“比较-校正”漏斗图并进行egger检验,确定发表偏倚和小样本效应。结果:共纳入13篇文献,包括5种CTE:太极、易筋经、八段锦、五禽戏、站桩功。结果显示纳入文献整体质量较高。网状Meta分析结果显示:在缓解僵硬和疼痛方面,五禽戏效果最好;在改善功能活动方面,易筋经效果最好。在缓解僵硬方面:与太极拳相比,五禽戏的效果更好(MD=-64.69,95%CI为-107.07~-22.31,P<0.05),五禽戏的效果最好。纳入文献均未报道CTE的安全性。结论:基于现有证据,CTE治疗KOA的效果优于传统康复训练,其中五禽戏和易筋经的效果优于其他CTE。展开更多
文摘Patients with hematological tumors experience physical and psychological stress,and negative psychological states.Baduanjin,an emerging psychological rehabil-itation method combined with resistance exercise,has received widespread attention.This study reviews the current status of the application of Baduanjin combined with resistance exercise in improving the negative psychological state of patients with hematological tumors and discusses its problems and prospects.Through a literature review and comprehensive analysis,the application of Baduanjin and resistance exercise in the psychological rehabilitation of patients with hematological tumors was identified and evaluated.The results showed that Baduanjin with resistance exercise had a positive effect on improving negative psychological states of patients with hematological tumors,which can alleviate anxiety,depression,and other adverse emotions,and improve quality of life.However,there is a lack of unified and standardized exercise intervention programs for practical application,and patient participation and compliance must be improved.Baduanjin combined with resistance exercise can potentially improve the negative psychological status of patients with hematological tumors;however,it is still necessary to further standardize and improve the exercise program improving patient participation and compliance.Future studies should strengthen theoretical exploration and empirical research,providing more effective psychological rehabilitation strategies for patients with hematological tumors.
文摘To summarize the application and modern studies on health Qigong Baduanjin by domestic and foreign scholars,combined them with clinical practice of mobile hospital in Wuhan,we explore the prevention,treatment,and recovery of Baduanjin in the war against COVID‑19.On the basis of studying ancient classics,such as Huangdi’s Internal Classic,and the concrete exercise methods of Baduanjin,we propose three ideas:prevention before disease onset,promoting healing during illness,and strengthening the body after recovery.We aimed to give full play to Baduanjin in the battle against COVID‑19 to popularize correct prevention and health knowledge for the patients and the healthy as well as to provide a reference for medical workers to use Traditional Chinese Medicine to prevention and treatment.
基金The Scientific Research Funds Project of Liaoning Education Department,No.LJC2019ST02.
文摘BACKGROUND Cancer-related fatigue(CRF)is the most common concomitant symptom in the treatment of colorectal cancer(CRC).Such patients often present with subjective fatigue state accompanied by cognitive dysfunction,which seriously affects the quality of life of patients.AIM To explore the effects of cognitive behavior therapy(CBT)combined with Baduanjin exercise on CRF,cognitive impairment,and quality of life in patients with CRC after chemotherapy,and to provide a theoretical basis and practical reference for rehabilitation of CRC after chemotherapy.METHODS Fifty-five patients with CRC after radical resection and chemotherapy were randomly divided into either an experimental or a control group.The experimental group received the intervention of CBT combined with exercise intervention for 6 mo,and indicators were observed and measured at baseline,3 mo,and 6 mo to evaluate the intervention effect.RESULTS Compared with the baseline values,in the experimental group 3 mo after intervention,cognitive function,quality of life score,and P300 amplitude and latency changes were significantly better(P<0.01).Compared with the control group,at 3 mo,the experimental group had significant differences in CRF,P300 amplitude,and quality of life score(P<0.05),as well as significant differences in P300 latency and cognitive function(P<0.01).Compared with the control group,at 6 mo,CRF,P300 amplitude,P300 latency,cognitive function and quality of life score were further improved in the experimental group,with significant differences(P<0.01).The total score of CRF and the scores of each dimension were negatively correlated with quality of life(P<0.05),while the total score of cognitive impairment and the scores of each dimension were positively correlated with quality of life(P<0.05).CONCLUSION CBT combined with body-building Baduanjin exercise can improve CRF and cognitive impairment in CRC patients after chemotherapy,and improve their quality of life.
基金This research was supported by the National Natural Science Foundation of China(82072553).
文摘Objective:Recently,the effects of Baduanjin(a traditional Chinese mind-body exercise)on diabetes have attracted increasing attention,and relevant systematic reviews(SRs)have emerged.However,the qualities of these SRs vary markedly,and their conclusions are inconsistent,which is not conducive to guiding decision-making.We sought to assess the quality of these SRs and provide more evidence for diabetes treatment.Methods:A literature search was conducted in 7 databases from inception to December 1st,2021.SRs of randomized controlled trials investigating the effects of Baduanjin were identified.A Measurement Tool to Assess Systematic Reviews 2(AMSTAR-2)checklist,Preferred Reporting Items for Systematic Review and Meta-analysis(PRISMA)statement,and Grading of Recommendations Assessment,Development and Evaluation(GRADE)system were applied to evaluate the quality of the SRs.Results:Ten SRs were identified.All SRs were judged as critically low methodological quality by the AMSTAR-2 checklist.The total PRISMA score of the included SRs ranged from 15 to 21,and the mean score was 18.60(1.90),indicating that all SRs had partial reporting deficits.Sixty outcomes were reported in the included studies,of which 25(41.67%)were judged as low quality,and 34(56.67%)as very low quality according to the GRADE system,indicating that the overall evidence quality of outcomes was not high.Conclusion:Baduanjin seems to be an effective therapy for diabetes in improving glucose and lipid metabolism,mental health,quality of life,and waist-hip ratio(WHR).The overall quality of the SRs was less than optimal.This conclusion should be treated with caution,and researchers should conduct higher-quality clinical studies following AMSTAR-2checklist,PRISMA statement,and GRADE system in the future.
文摘BACKGROUND With the change in people’s lifestyles,the incidence of colorectal cancer(CRC)is increasing.It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC.AIM To investigate the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC.METHODS A total of 120 patients with CRC who were admitted to our hospital from June 2020 to June 2021 were included in the study.They were randomly divided into four groups(n=30):the control group(group A),the biofeedback therapy intervention group(group B),the Baduanjin exercise intervention group(group C),and the combination group(group D).Patients in group A adopted the standard nursing mode and necessary health education.Patients in group B were treated with biofeedback therapy based on routine nursing care.Patients in group C were given Baduanjin intervention for 12 wk based on conventional drug treatment and care.Patients in group D were treated with biofeedback therapy and Baduanjin exercise.In this study,patients’quality of life,gastrointestinal hormone levels,and clinical efficacy in the four groups were observed at baseline and 12 wk after intervention.Meanwhile,the correlation between gastrointestinal hormone levels and various functional areas of quality of life was analyzed.By comparing the observed indicators of patients in the four groups,the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC was explored.RESULTS At baseline,there were no significant differences in quality of life,gastrointestinal hormone levels,or clinical efficacy among the four groups(P>0.05).Twelve weeks after the intervention,the combination group’s quality of life,gastrointestinal hormone levels,and clinical effectiveness were better than those of the three other groups.CONCLUSION On the basis of routine nursing care,patients with CRC combined with biofeedback therapy and Baduanjin exercise can improve the quality of life of patients with CRC and the efficacy of gastrointestinal hormone levels.
基金The study is supported by the Fundamental Research Funds for the Central Universities(grant no.2019-JYB-JS-053).
文摘Introduction:Patients with functional ankle instability(FAI)have problems with joint control,balance,gait,and postural symmetry.Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms.However,to date,the effect of Baduanjin in patients with FAI has not been proved.This pilot trial is an assessor-blinded randomized controlled trial,and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI.Methods:Seventy-two participants,who are eligible according to specified inclusion and exclusion criteria,will be randomized(in a 1:1 ratio),using a random number table,into two groups:a Baduanjin group and a conventional treatment group.The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy.Participants’exercise programs will be implemented for 4 weeks(5 days a week).All participants will be assessed at baseline,and after two and 4 weeks of treatment.The surface electromyography results of the bilateral erector spinae,tibialis anterior,and peroneus longus will be the primary outcomes,while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes.Ethics and Dissemination:The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital,the First Affiliated Hospital of Beijing University of Chinese Medicine(no.DZMEC-KY-2019-18),and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki.The findings of this study will be submitted for publication in peer-reviewed journals.The results will also be disseminated to the participants via phone calls or e-mail.
文摘Objective:To determine the effect of Baduanjin combined rehabilitation therapy on stroke patients through systematic review and Meta-analysis.Method:computer retrieval Embase and PubMed,Cochrane Library,Clonal,MBJ Journals,CNKI,Web of Science,China resources pool,Weipu Chinese science and technology journal(VIP),service system of Chinese biomedical literature database(CBM),a database of ten thousand Chinese and English in about Baduanjin to the rehabilitation effect of patients with cerebral apoplexy randomized controlled experiment(RCT),are built from library retrieval time until 31 December 2020.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included studies.RevMan5.3 software and Pedro scale were used to conduct literature quality evaluation and statistical analysis of the study data.For indicators with significant heterogeneity,the heterogeneity was reduced by excluding some literature deviating from the forest map,and then the pooled analysis was performed.Meanwhile,funnel plots were drawn to analyze the publication bias of the included studies.Results:(1)A total of 114 literatures were obtained,and 27 studies,including 23 Chinese literatures and 4 English literatures,with a total of 2526 patients,were obtained after eliminating duplicates and those failing to meet the inclusion criteria.There were 12 outcome indicators involved.(2)Quality evaluation showed that 23 literatures were grade A,4 literatures were grade B,16 literatures used simple random method,4 literatures used random number table method,and 4 literatures used hidden blind assignment method.No selective reporting was found in all the included literatures.(3)Meta-analysis results show that the daily life activities ability(MD=10.10,95%CI:8.75-11.45,P<0.00001),treatment effectiveness(RR=1.1,95%CI:0.99-1.23,P=0.07),depression(SMD=1.34,95%CI:2.59-0.08,P=0.04),(BBS MD=8.58,95%CI:4.97-12.2,P<0.00001),defecate integral(MD=0.65,95%CI:0.92-0.38,P<0.00001),mental health(SMD=0.34,95%CI:1.6-0.93,P=0.6),a balance(MD=6.09,95%CI:5.76-6.43,P<0.00001),the ability to walk(MD=0.7,95%CI:0.43-0.97,P<0.00001),lower limb FMA(MD=5.69,95%CI:4.66-6.72,P<0.00001),upper limb FMA(MD=3.42,95%CI:1.53-5.3,P<0.00004).SF-36(SMD=0.65,95%CI:0.91-2.21,P=0.41),and BERG(MD=10.43,95%CI:9.02-11.48,P<0.00001),the onset of FMA contrast(MD=4.77,95%CI:3.45-6.1,P<0.00001).Conclusion:Baduanjin movement as a method of auxiliary and security can help stroke patients get the best curative effect,through the evidence-based analysis can be concluded that the Baduanjin combined rehabilitation therapy for cerebral apoplexy patients postoperative balance function,improved degree of depression,integral,defecate daily life activities ability and psychological health are greatly improved,and can significantly improve the quality of life of patients with clinically and promote patients recover.
文摘背景: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。