八段锦对急性心肌梗死PCI术后心脏康复的Meta分析

Meta-analysis of Ba Duan Jin for cardiac rehabilitation after PCI in acute myocardial infarction

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DOI 10.12208/j.ircm.20240055
刊名
International Research in Chinese Medicine
年,卷(期) 2024, 4(4)
作者
作者单位

1 上海中医药大学附属岳阳中西医结合医院老年病科 上海 ;
;
2 海口市中医医院 海南海口 ;

摘要
评价八段锦锻炼对急性心肌梗死患者PCI术后治疗康复的影响。方法 利用计算机检索PubMed、Google scholar、Cochrane图书馆、中国知网、维普、万方等数据库,其中有有关八段锦干预急性心肌梗死PCI术后心脏康复患者的随机对照试验,检索时间限制为建库至2023年12月31日。在研究人员独立挑选文献、提取相关数据并评估偏倚的风险之后,使用RevMan5.3软件进行Meta分析。结果 共纳入17项随机试验,纳入1681名病人。Meta分析结果显示,八段锦能减轻患者焦虑、抑郁等心理问题,显著改善患者心功能,提高心绞痛稳定状态,降低心绞痛发作频率及躯体受限程度。结论 八段锦能调节急性心肌梗死PCI术后心脏康复患者的心理状态,帮助患者治疗后病情稳定。由于此研究干涉措施及评价指标的纳入研究数量较少,及一些结局指标的异质性存在,今后有必要通过多中心、大样本、高质量的研究进一步评价八段锦在急性心肌梗死PCI术后心脏康复患者中的运用效果。
Abstract
Objective To evaluate the effect of Baduanjin exercise on the treatment and rehabilitation of patients with acute myocardial infarction after PCI. Methods A computer was used to search databases such as PubMed, Google scholar, Cochrane Library, China National Knowledge Infrastructure, VIP, and Wanfang. Among them, there were randomized controlled trials on Baduanjin Qian and cardiac rehabilitation patients after PCI for acute myocardial infarction. The search time was limited to the time of database establishment. Until December 31, 2023. After researchers independently selected literature, extracted relevant data, and assessed the risk of bias, RevMan5.3 software was used to conduct meta-analysis. Results A total of 17 randomized trials involving 1681 patients were included. Meta-analysis results show that Baduanjin can alleviate patients psychological problems such as anxiety and depression, significantly improve patients cardiac function, improve the stable state of angina pectoris, and reduce the frequency of angina pectoris attacks and the degree of physical limitation. Conclusion Baduanjin can regulate the psychological state of cardiac rehabilitation patients after PCI for acute myocardial infarction and help patients stabilize their condition after treatment. Due to the small number of included studies on intervention measures and evaluation indicators in this study, and the heterogeneity of some outcome indicators, it is necessary to further evaluate the effectiveness of Baduanjin in PCI surgery for acute myocardial infarction through multi-center, large-sample, and high-quality studies in the future. Effects of use in post-cardiac rehabilitation patients.
关键词
八段锦;急性心肌梗死;PCI;心功能
KeyWord
Ba Duanjin; Acute myocardial infarction; PCI; Cardiac function
基金项目
页码 7-16
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陈可丹*,刘彦秀,容应寿,姜凤依,鲍晓敏,张国妮,姜恺,钱风华,史晓,施丹*. 八段锦对急性心肌梗死PCI术后心脏康复的Meta分析 [J]. 国际中医药研究. 2024; 4; (4). 7 - 16.

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