八段锦对膝骨性关节炎患者干预效果的Meta分析

被引：17

作者：

李紫梦

靳英辉

刘佳

程悦

罗屹惟

李苗

刘彦慧

机构：

[1] 天津中医药大学护理学院

来源：

中华现代护理杂志 | 2020年 / 26卷 / 04期

关键词：

Meta分析; 八段锦; 膝骨性关节炎; 随机对照试验;

D O I：

暂无

中图分类号：

R248.2 [外科护理];

学科分类号：

101106 [中医护理学];

摘要：

目的系统评价八段锦对膝骨性关节炎患者的干预效果。方法计算机检索Web of Science、CINAHL、PubMed、EMbase、The Cochrane Library、CNKI、万方数据和维普数据库, 搜集有关八段锦对膝骨性关节炎患者干预效果的RCT, 检索时限均从建库至2019年1月23日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后, 采用RevMan 5.3软件进行Meta分析, 采用GRADE pro软件对结果证据质量进行评级。结果最终纳入6项RCT, 328例研究对象。Meta分析结果显示, 八段锦组较对照组能有效改善患者疼痛程度[SMD=-1.50, 95%CI(-2.43, -0.58), P=0.001]、僵硬程度[SMD=-0.85, 95%CI(-1.46, -0.23), P=0.007]、生理功能[SMD=-1.28, 95%CI(-2.45, -0.10), P=0.03]、行动能力[SMD=1.04, 95%CI(0.07, 2.02), P=0.03]。但5项研究证据等级均为极低质量。结论当前证据显示, 八段锦干预对改善膝骨性关节炎患者疼痛程度、僵硬程度及行动能力有明显的临床效果, 但受纳入研究质量的限制, 尚需更多高质量研究加以证实。

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