中华护理教育 ›› 2023, Vol. 20 ›› Issue (6): 745-751.doi: 10.3761/j.issn.1672-9234.2023.06.019
蔡明瑾(),侯朝铭(),高静,柏丁兮,刘锐芮,卢贤英,王薇,宫笑颜
收稿日期:
2022-07-21
出版日期:
2023-06-15
发布日期:
2023-06-27
通讯作者:
侯朝铭
作者简介:
蔡明瑾:女,本科(硕士在读),护师,E-mail:基金资助:
CAI Mingjin(),HOU Chaoming(),GAO Jing,BAI Dingxi,LIU Ruirui,LU Xianying,WANG Wei,GONG Xiaoyan
Received:
2022-07-21
Online:
2023-06-15
Published:
2023-06-27
Contact:
Chaoming HOU
摘要:
目的 分析不同有氧运动对膝骨关节炎(knee osteoarthritis,KOA)患者干预效果的差异,为临床医护人员选择有氧运动方式提供依据。方法 系统检索CNKI、万方、维普、SinoMed、PubMed、Web of Science、Embase、Cochrane Library数据库中有氧运动干预膝骨关节炎的随机对照试验,检索时限为建库至2022年11月。由2名经过循证培训的研究者独立筛选文献、提取资料,并使用Cochrane的随机对照试验偏倚风险评估工具评价纳入研究质量,使用Stata 15.0软件进行网状Meta分析。结果 共纳入21项研究,1 209例KOA患者。网状Meta分析结果显示,水下跑步、步行对缓解KOA患者疼痛的效果优于常规治疗(P<0.05),水下跑步最优(SUCRA=87.1%)。各有氧运动对僵硬、关节功能指标干预效果的两两比较结果显示,均无统计学差异(P>0.05);僵硬、关节功能指标干预效果累积排序概率图下面积排序第一位分别为自行车(SUCRA=77.3%)、步行(SUCRA=79.3%)。结论 当前证据显示,水下跑步为减轻KOA患者疼痛的最佳方法,自行车可能为缓解僵硬的最佳方法,步行可能为改善关节功能的最佳方法。受纳入研究数量和质量的限制,上述结论仍需更多高质量研究进一步验证。
蔡明瑾,侯朝铭,高静,柏丁兮,刘锐芮,卢贤英,王薇,宫笑颜. 不同有氧运动对膝骨关节炎患者干预效果的网状Meta分析[J]. 中华护理教育, 2023, 20(6): 745-751.
CAI Mingjin,HOU Chaoming,GAO Jing,BAI Dingxi,LIU Ruirui,LU Xianying,WANG Wei,GONG Xiaoyan. Intervention effect of aerobic exercise on knee osteoarthritis patients:a network meta-analysis[J]. Chinese Journal of Nursing Education, 2023, 20(6): 745-751.
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