喘患者的水上运动:随机对照试验的系统综述与元分析
Franciele Angelo Deus1, Cecylia Leiber Fernandes E Castro2, Vinícius Cunha Oliveira1,2,3
1Posgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
概括
水上运动可能对喘患者的肺功能有轻微的益处,但证据质量非常低. 需要更严格的试验来证实喘患者的肺功能和生活质量的改善.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 喘管理通常涉及炼,水上炼被很好地容忍.
- 了解水上运动对喘的影响对于患者护理至关重要.
研究的目的:
- 系统地审查有关水上运动对喘患者肺功能和生活质量影响的证据.
- 综合随机对照试验的发现,比较水上运动与对照或陆地运动.
主要方法:
- 在多个数据库 (Medline,CINAHL,Cochrane,Embase,AMED,SPORTDiscus,PEDro) 中进行系统搜索.
- 包括随机对照试验,评估喘中的水上运动.
- 由两位作者进行的独立数据提取和方法评估.
主要成果:
- 纳入了10项涉及393名参与者的研究.
- 非常低质量的证据表明,1秒内强制呼气体积 (FEV1) 和强制生命能力 (FVC) 的潜在改善.
- 没有观察到FEV1/FVC比率的显著影响;生活质量仅在一项研究中进行了评估.
结论:
- 目前的高质量证据不支持水上炼对喘患者的肺功能或生活质量的显著改善.
- 需要进一步的方法严格的临床试验来验证这些发现.
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