运动和肺栓塞:对运动安全性,可行性和有效性的系统审查
Wu Xiang1,2, Yuan-Jiao Lei3,2, Han Xiang4,2
1School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
概括
对肺栓塞 (PE) 幸存者来说,运动训练是安全和可行的,改善了运动能力和生活质量. 然而,它并不能显著缓解呼吸障碍症状.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 临床运动生理学 临床运动生理学
背景情况:
- 长期肺栓塞 (PE) 幸存者经常经历运动能力降低,呼吸不全和生活质量受损.
- 正在探索运动干预作为缓解这些持续性PE后症状的潜在策略.
研究的目的:
- 系统地审查运动训练的安全性,可行性和有效性,以改善经历过PE的患者的运动能力和生活质量.
- 评估运动对这种患者群体呼吸障碍的影响.
主要方法:
- 进行了对9项涉及583名患者 (391名干预患者,190名对照患者) 的试验的系统审查.
- 在主要数据库 (PubMed,Medline,科学网,Scopus,Embase,Cochrane图书馆) 进行了搜索,截至2024年9月17日.
- 分析了关于不良事件,招募,戒断,坚持和功能结果的数据.
主要成果:
- 运动训练显示了与对照组相似的安全概况,副作用没有显著差异 (0.5%与0%).
- 在峰值氧气消耗,增量穿步行测试距离和生活质量得分 (活力,角色情绪) 中观察到显著改善.
- 没有报告呼吸不良的显著改善,由于得分差异,无法通过PE生活质量调查问卷来确定一致的生活质量指标.
结论:
- 运动训练似乎是PE患者康复的安全和可行的干预措施.
- 它有效地提高了运动能力和生活质量的某些方面.
- 对呼吸障碍的影响有限,需要进行大规模随机对照试验,因此需要谨慎解释目前的研究结果.
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