针对肺高血压的家庭运动计划与中心运动计划的有效性和安全性:系统性审查与元分析
Indyanara C Ribeiro1,2,3, Sofia M Sieczkowska1,2,3, Renata Jashchenko4
1Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of São Paulo (USP), São Paulo, Brazil.
概括
基于家庭的运动训练改善了肺高血压患者的结果,为基于中心的计划提供了可行的替代方案. 坚持性很高,结果可比,没有报告严重的不良反应.
科学领域:
- 心脏病学
- 肺病学
- 康复医学
背景情况:
- 肺高血压严重影响运动能力和生活质量.
- 对于PH患者来说, 有限的康复中心限制了运动训练.
- 家庭炼提供了一个潜在的可获得和成本效益的替代方案, 但它的有效性和安全性需要研究.
研究的目的:
- 对肺高血压患者的家庭运动干预措施的有效性和安全性进行系统审查和元分析.
- 为了比较家庭运动的结果与不活跃的对照组和以中心为基础的项目.
- 评估坚持并确定与炼相关的任何不良事件.
主要方法:
- 19项研究的系统审查和元分析.
- 包括评估PH患者独立和混合家庭运动干预措施的研究.
- 评估安全性,运动能力,心肺呼吸结果,功能类别和坚持.
主要成果:
- 与对照组相比,在家进行运动显著改善了6分钟的步行距离,氧气吸收峰值和生活质量.
- 改善与以中心为基础的干预措施相美.
- 虽然自我监测数据有限,但没有报告严重的不良事件.
结论:
- 在家进行运动是治疗肺高血压的可行且有效的替代方案.
- 可比的临床结果改善表明可行性,但需要进一步研究自我监测以进行全面的安全评估.
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