目的 系统评价瑜伽训练对绝经综合征妇女身心健康影响的效果。方法 检索PubMed、Embase、Cochrane Library、中国期刊全文数据库、万方数据库中关于瑜伽训练对绝经综合征妇女身心健康影响的随机对照试验,检索时限为建库至2021年2月,由2名研究人员独立完成文献筛选、资料提取和偏倚风险评价后,采用Revman 5.2软件对纳入的文献进行分析,并用GRADE Profiler 3.6.1软件进行评级。结果 共纳入11篇文献,包括923例研究对象,纳入的11篇文献质量均为B,meta分析结果显示,瑜伽训练后,试验组较对照组绝经综合征妇女的血管及自主神经症状[SMD=-0.89,95%CI（-1.35,-0.44）,P<0.001]、躯体活动[SMD=-1.07,95%CI（-1.44,-0.70）,P<0.001]、泌尿生殖道症状[SMD=-0.68,95%CI（-1.17,-0.18）,P=0.007]有明显改善;试验组较对照组绝经综合征妇女的精神心理症状[SMD=-0.51,95%CI（-1.26,0.24）,P=0.190]无明显改善;描述性分析结果表明,瑜珈训练可改善血压情况,但在BMI的改善情况方面的研究结果不一致。经GRADE系统评级,证据体的质量为低等级别。结论 瑜伽训练能有效改善绝经综合征妇女的血管及自主神经症状、躯体活动、泌尿生殖道症状、血压,但对于绝经综合征妇女的精神心理症状、BMI还有待于更多研究进行验证。而且仍需要更大样本量、长期的高质量研究进一步证明瑜伽训练对绝经综合征妇女身心健康影响的有效性。

Objective To systematically evaluate the effectiveness of yoga on physical and mental health of menopausal women by meta-analysis. Methods We performed a systematic search in PubMed,Embase,Cochrane Library,CNKI,Wanfang to collect studies about effects of yoga on the mental and physical health of menopausal women published from inception to February 2021. Meta-analysis was performed using RevMan 5.2 software after two independent reviewers finished literature screening,data extraction,and literature quality evaluation. The GRADE Profiler 3.6.1 software was used for evidence quality evaluation. Results Eleven studies were recruited,including 923 participants. The quality of all included studies was rated as B level. The results of meta-analysis showed that the sympathetic autonomic nerve system score[SMD=-0.89,95%CI（-1.35,-0.44）,P<0.001],orthopedic system score [SMD=-1.07,95%CI（-1.44,-0.70）,P<0.001],and genitourinary system score[SMD=-0.68,95%CI（-1.17,-0.18）,P=0.007] of the yoga group were significantly improved. However,there was no statistically significant differences of psychological and spiritual symptom score between the two groups[SMD=-0.51,95%CI（-1.26,0.24）,P=0.190]. The results of descriptive analysis showed that yoga can improve menopausal women’s blood pressure,but the results on the improvement of BMI were inconsistent. The evidences were all of low quality in the GRADE system. Conclusion Yoga can improve the sympathetic autonomic nerve system,orthopedic system,genitourinary system and blood pressure of menopausal women. However,the psychological symptoms and BMI of women with menopausal syndrome need to be verified by more studies. It still needs a larger sample size,longer time of higher quality research in the future to prove the effectiveness of yoga for the physical and mental health of menopausal women.