儿科中支气管喘的有氧运动为基础的肺康复:系统性审查
Salma Eltohami Ballal Tahaelbashir1, Wiaam Noureldin Birima Noureldin2, Islam Kanada Toto Korea3
1Paediatrics, Armed Forces Hospitals, Southern Region, Khamis Mushait, SAU.
Cureus
|November 17, 2025
概括
基于有氧运动的肺部康复改善了喘控制,生活质量和喘儿童的健康状况. 虽然肺功能变化不一致,但这些计划是标准护理的安全和有效补充.
科学领域:
- 儿科肺病学 儿科肺病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 支气管喘是一种常见的慢性儿童疾病,影响日常生活和运动耐受性.
- 药物治疗单独往往不能完全控制儿科喘.
- 基于有氧运动的肺部康复 (PR) 是作为补充疗法的研究.
研究的目的:
- 系统地审查基于有氧运动的PR对儿科喘的影响.
- 评估对肺功能,喘控制,运动能力和生活质量的影响.
- 评估PR作为辅助治疗的安全性和有效性.
主要方法:
- 从2015-2025年对五个随机对照试验 (RCT) 数据库进行系统搜索.
- 包括对患有喘的儿童 (≤18岁) 的研究,将有氧运动干预与对照进行比较.
- 数据提取和偏差风险评估使用Cochrane风险偏差2 (ROB2) 工具.
主要成果:
- 包括八个RCT (435名参与者);七个具有偏差的低风险.
- 在螺旋测量上观察到不一致的效应 (FEV1,FVC).
- 在喘控制,生活质量和心肺呼吸能力 (例如,VO2max,6MWT) 中发现了持续的显著改善.
结论:
- 基于有氧运动的PR是标准儿科喘护理的安全有效补充.
- PR显著提高了喘控制,生活质量和身体健康.
- 结构化的炼计划应纳入儿童的综合性喘管理.
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