中西医结合慢性病杂志2025，Vol.2Issue(1)：26-36,11.
院外运动疗法对慢性阻塞性肺疾病稳定期肺康复效果的网状Meta分析
Network Meta Analysis of Extracorporeal Exercise Therapy on Pulmonary Rehabilitation in Stable Chronic Obstructive Pulmonary Disease
摘要
Abstract
Objective To systematically evaluate the effectiveness of common out of hospital exercise rehabilitation therapies on pulmonary rehabilitation in stable chronic obstructive pulmonary disease(COPD)patients.Methods The literatures in Pubmed,the Cochrane Library,Web of Science,CNKI,WanFang and VIP databases were searched by computer,and randomized controlled trials involving out-of-hospital exercise rehabilitation therapy in stable COPD were screened from January 1,2014.It was last retrieved on May 31,2024.Two researchers were selected according to inclusion and exclusion criteria,extracted data,and evaluated the methodological quality of the included studies.Stata 17.0,Stata 11.0 and Review Manager 5.3 were used to combine the results of the included RCT studies using traditional Meta analysis and network Meta analysis methods.Results A total of 62 RCT were included,involving 5155 patients.Both traditional Meta analysis and network Meta analysis showed that in the stable outpatient rehabilitation stage of COPD patients,conventional western medicine treatment combined with exercise rehabilitation could significantly improve the lung function and exercise ability of the patients,with statistical significance(P<0.05).The results of the network Meta analysis showed that the six character exercise in water had the best therapeutic effect in improving FEV1%and 6WMT in patients,while the hand swinging exercise had the most significant effect in improving FEV1/FVC%.Traditional Chinese medicine therapies such as Ba duan jin,Tai Chi,and Land Six Character Formula have also shown good rehabilitation effects on patients'lung recovery.Conclusion Extracorporeal exercise rehabilitation has a good therapeutic effect on lung rehabilitation in stable COPD,and the effectiveness of different types of exercise rehabilitation treatments may vary.The rehabilitation effect of traditional Chinese medicine exercises is more significant,but limited by the quality and quantity of included studies,the above conclusions still need to be verified by more large-sample,multi-center and high-quality clinical trials.关键词
院外运动疗法/慢性阻塞性肺疾病/网状Meta分析/随机对照试验Key words
extracorporeal exercise therapy/chronic obstructive pulmonary disease/network Meta analysis/randomized controlled trial分类
医药卫生引用本文复制引用
崔杨,孙婉宁,刘鑫瑶,彭成飞,姜鑫,庞立健,王琳琳,吕晓东..院外运动疗法对慢性阻塞性肺疾病稳定期肺康复效果的网状Meta分析[J].中西医结合慢性病杂志,2025,2(1):26-36,11.基金项目
国家自然科学基金青年基金项目(82104804) （82104804）
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2023]85号) （国中医药人教函[2023]85号）
辽宁省科技厅创新能力提升联合基金项目(2022-NLTS-13-3) （2022-NLTS-13-3）
