运动干预对成人喘患者肺功能的影响:一个网络元分析
Shuangtao Xing1, Shijie Feng1, Dan Zeng1
1School of Physical Education, Henan normal university Henan, Xinxiang, China.
Annals of medicine
|August 10, 2023
概括
适当的运动训练,包括呼吸 (BT),有氧 (AT),放松 (RT) 和训练 (YG),可显著改善喘患者的肺功能. 呼吸与有氧训练 (BT+AT) 和训练 (YG) 相结合显示出对肺功能最显著的益处.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
- 运动科学 运动科学
背景情况:
- 传统上,喘患者因喘恶化的风险而禁用运动.
- 最近的证据表明,量身定制的炼计划可以提高患有喘的成年人的呼吸功能和炼能力.
研究的目的:
- 为了比较各种运动干预措施对成人喘患者肺功能的疗效.
- 确定最有效的运动类型来改善肺功能参数.
主要方法:
- 在主要数据库中进行了系统的文献搜索,对随机对照试验 (RCT) 进行了搜索,直到2023年2月.
- 使用Stata 17.0和Revman 5.4.4进行了涉及2,155名喘患者的28个RCT的网络元分析.
主要成果:
- 呼吸训练 (BT),有氧训练 (AT),放松训练 (RT),训练 (YG) 和BT+AT组合改善了第一秒的强迫呼气量 (FEV1).
- AT,BT,YG和BT+AT增强了强迫生命能力 (FVC).
- RT在FEV1 (SMD=1.13),FVC中的BT+AT (SMD=0.71) 和峰值呼气流 (PEF) 的YG (SMD=0.79) 中表现出最显著的改善.
结论:
- 呼吸与有氧训练 (BT + AT) 和训练 (YG) 相结合似乎对改善成人喘患者的整体肺功能最有益.
- 特定的运动方式显示出不同肺功能指标的明显优势.
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