慢性阻塞性肺病中传统的中国练习:系统性审查的概述
Medicine
|June 28, 2024
概括
传统中国练习 (TCE) 在慢性阻塞性肺病 (COPD) 中显示出有效性和安全性. 然而,证据质量较低,需要改进研究设计以获得可靠的临床数据.
科学领域:
- 综合医学是一个整体的医学.
- 肺部病理学 肺部病理学
- 基于证据的实践.
背景情况:
- 慢性阻塞性肺病 (COPD) 管理通常涉及补充疗法.
- 传统中国练习 (TCE) 越来越多地被探索其在COPD治疗中的潜在益处.
研究的目的:
- 批判性地重新评估对COPD的TCE的系统审查 (SR).
- 综合证据,评估审查质量,并评估TCE在COPD中的有效性.
主要方法:
- 在多个数据库 (PubMed,Cochrane等) 进行了搜索. 对于COPD的TCE的SR,最长时间为2023年4月.
- 使用AMSTAR II评估方法质量,使用GRADE评估证据质量.
- 包括17个SR,涵盖4种类型的TCE.
主要成果:
- 大多数包含的SR质量极低 (AMSTAR II).
- 证据质量主要是非常低到低,有些质量中等.
- 柳芝杰显示出改善TCM综合征得分,肺功能和生活质量的潜力.
- 巴杜安金 (Baduanjin) 和健康奇功 (Health Qigong) 也表明,它对肺功能,生活质量和运动耐力都有好处.
- 对于TCE.没有报告任何不良反应.
结论:
- 在COPD管理中,TCE干预似乎是有效和安全的.
- 不同的TCE类型对COPD结果产生不同的影响.
- 由于现有的SRs的方法和证据质量较低,结果受到限制.
- 强烈推更高质量的临床证据和遵守SR协议.
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