目的 系统评价运动康复训练对慢性心力衰竭患者生活质量的影响。方法 检索PubMed、Embase、CNKI、CMB、Cochrane Library、万方数据库建库至2020年6月关于运动康复训练对慢性心力衰竭患者生活质量影响的随机对照试验研究。结果 共纳入文献11 篇,合计样本量424例,Meta分析结果显示,与仅进行日常生活活动的对照组比较,接受运动康复训练的试验组干预后生活质量评分MLHF优于对照组[SMD=-0.40,95%CI(-0.86,0.06),Z=1.71,P=0.09],峰值摄氧量PeakVO2高于对照组[MD=2.80,95%CI(0.87,4.72),Z=2.84,P=0.005],6 min步行试验(6MWD)高于对照组[MD=51.24,95%CI(16.06,86.38),Z=2.86,P=0.004],差异有统计学意义。结论 基于运动的康复训练可以提高慢性心力衰竭患者生活质量评分,改善峰值摄氧量,增加6 min步行试验距离。
Abstract
Objective To systematically evaluate the effect of exercise-based rehabilitation training on the quality of life of patients with chronic heart failure.Methods PubMed, Embase, CNKI, CMB, Cochrane Library and Wanfang database were searched for randomized controlled trials associated with the effect of exercise-based rehabilitation training on the quality of life of patients with chronic heart failure published between inception and June 2020.Results A total of 11 trials were included that involved 424 cases. The results of meta-analysis showed that the life quality score of the experimental group was better than that of the control group [SMD=-0.40,95% CI-0.86,0.06),Z=1.71,P=0.09], and that the PeakVO2 was significantly higher than that of the control group [MD=2.80, 95% CI (0.87, 4.72),Z=2.84,P=0.005], so was the 6MWD [MD=51.24,95%CI(16.06,86.38),Z=2.86,P=0.004].Conclusions Exercise-based rehabilitation training can improve the life quality of patients with chronic heart failure.
关键词
康复训练 /
慢性心力衰竭 /
生活质量 /
系统评价
Key words
exercise-based rehabilitation training /
chronic heart failure /
quality of life /
systematic review
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基金
重庆市科技惠民计划项目课题资助(cstc2015jcsf10005);“十三五”军队重点院校重点学科专业建设子项目(sghhz005)
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