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不同运动方式对老年衰弱患者影响的网状Meta分析
作者:程敏1 2  甘皓月1 2  宁莉萍1 2  史菲菲1 2  何梅2 
单位:1. 川北医学院 护理学院, 四川 南充 637000;
2. 电子科技大学医学院 附属绵阳医院·绵阳市中心医院, 四川 绵阳 621000
关键词:衰弱 老年人 运动 临床疗效 网状Meta分析 随机对照试验 
分类号:R592
出版年·卷·期(页码):2024·52·第四期(551-559)
摘要:

目的:利用网状Meta分析评价不同运动方式对老年衰弱患者的影响。方法:计算机检索PubMed、Cochrane Library、Web of Science、Embase、中国生物医学文献服务系统、中国知网、万方数据知识服务平台、维普中文期刊全文数据库,搜集不同运动方式对老年衰弱患者影响的随机对照试验,检索时限从建库至2023年7月。由2名研究者独立筛选文献、提取资料,评价纳入研究的偏倚风险后,采用Stata 15.1软件进行网状Meta分析。结果:共纳入28篇随机对照试验,包括1 705例患者,涉及11种干预方法。网状Meta分析结果显示在Fried衰弱量表方面,累计排序概率曲线下面积(SUCRA)值的排序结果为八段锦、太极拳、舞蹈训练、Kinect运动游戏训练、多组分运动、小组功能力量训练、常规活动。在简易精神状态检查量表方面,SUCRA值的排序结果为方块踏步运动、多组分运动、舞蹈训练、常规活动。在简易体能状况量表方面,SUCRA值的排序结果为多组分运动、小组功能力量训练、常规活动。在起立-行走计时实验方面,SUCRA值的排序结果为多组分运动、Kinect运动游戏训练、八段锦、阻力训练、方块踏步运动、小组功能力量训练、机器人辅助平衡训练、常规活动。在握力方面,SUCRA值的排序结果为太极拳+阻力训练、振动训练、Kinect运动游戏训练、多组分运动、八段锦、阻力训练、舞蹈训练、小组功能力量训练、常规活动。在步速方面, SUCRA值的排序结果为Kinect运动游戏训练、多组分运动、阻力训练、常规活动。在30 s椅子坐站测试方面,SUCRA值的排序结果为方块踏步运动、太极拳、阻力训练、多组分运动、常规活动。结论:当前证据表明,在改善老年衰弱方面,八段锦、方块踏步运动、多组分运动、太极拳+阻力训练、Kinect运动游戏训练可能是最优的运动干预方式,建议未来开展更多的研究进行论证。

Objective: To evaluate the effect of different exercise methods on elderly patients with frailty by using mesh Meta-analysis. Methods: A computer search was conducted on PubMed, Cochrane Library, Web of Science, Embase, SinoMed, CNKI, Wanfang Data, and VIP database to collect randomized controlled trials on the effects of different exercise methods on elderly patients with frailty. The search period was from the establishment of the database to July 2023. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias in the included studies. Stata 15.1 software was used to conduct a mesh Meta-analysis. Results: A total of 28 randomized controlled trials were included, including 1 705 patients, involving 11 interventions. The results of mesh Meta-analysis showed that: in terms of Fried frailty scale, the ranking results of surface under the cumulative ranking(SUCRA) values were as follows: Baduanjin, Taijiquan, dance training, Kinect sports game training, multi-component exercise, group functional strength training, and routine activity. In the simple mental state examination scale, the ranking results of SUCRA values were square step movement, multi-component movement, dance training, routine activity. In terms of simple physical status scale, the ranking results of SUCRA values were multi-component exercise, group functional strength training, routine activity. In terms of standing up and walking timing experiment, the ranking results of SUCRA values were as follows: multi-component exercise, Kinect exercise game training, Badanjin, resistance training, square step exercise, group functional strength training, robot-assisted balance training, and routine activity. In terms of grip strength, the ranking results of SUCRA values were Taijiquan + resistance training, vibration training, Kinect sports game training, multi-component exercise, Badanjin, resistance training, dance training, group functional strength training, and routine activity. In terms of walking speed, SUCRA values were sorted as follows: Kinect sports game training, multi-component exercise, resistance training, routine activity. In terms of the 30-second chair standing test, the ranking results of SUCRA values were square step movement, Taijiquan, resistance training, multi-component movement, routine activity. Conclusions: The current evidence shows that the eight sections of brocade, square step exercise, multi-component exercise, Taijiquan+resistance training, Kinect sports game training may be more effective intervention exercise methods in improving senile frailty, and it is recommended to carry out more research in the future to demonstrate.

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