太极拳对原发性高血压患者降压效果的系统评价与Meta分析

Systematic Evaluation and Meta Analysis of the Antihypertensive Effect of Tai Chi on Patients with Essential Hypertension

投稿时间：2018-10-12

DOI：

中文关键词:太极拳原发性高血压系统评价 Meta分析

英文关键词:Tai Chi Essential hypertension Systematic Review Meta analysis

基金项目:

作者	单位	E-mail
张永鹏	西南大学体育学院	745932514@qq.com
陶飞	西南大学体育学院
杨佳英	南京师范大学体育科学学院
贾智杰	西南大学体育学院
魏琼媛	西南大学体育学院

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中文摘要:

目的：本研究系统评价太极拳运动对原发性高血压患者血压指标的影响并进行Meta分析，以期为临床工作提供较为可靠的参酌依据。方法：收集太极拳对原发性高血压患者血压影响的随机对照试验，应用Cochrane偏倚风险评估工具对纳入研究进行方法学质量评价，Stata15.0软件进行Meta分析。结果：依据排除标准，研究共纳入15篇随机对照试验，其中低、中、高风险文献分别为6篇、8篇和1篇。纳入研究总样本量732个，其中实验组316个，对照组416个。Meta分析发现，实验组对原发性高血压患者收缩压和舒张压的改善效果优于对照组；亚组分析显示，太极拳可明显改善65岁以下患者的收缩压和舒张压；多因素Meta回归分析未能解释研究间异质性的来源，敏感性分析剔除2篇质量较差的文献后，同质性较好。Egger检验显示，太极拳影响收缩压的文献存在显著发表偏倚，影响舒张压的文献无显著发表偏倚。结论：基于现有证据，太极拳对原发性高血压患者收缩压和舒张压的干预是有效的，应在原发性高血压的治疗中得到重视和推广。

英文摘要:

Objective: This study systematically evaluated the effect of Tai Chi exercise on blood pressure indexes of patients with essential hypertension and conducted a meta-analysis, so as to provide a reliable reference basis for clinical work. Methods: Randomized controlled trials on the effect Of Tai Chi on blood pressure of patients with essential hypertension were collected. Methodological quality was evaluated by using Cochrane bias risk assessment tool, and Meta analysis was performed by using Stata15.0 software. Results: According to the exclusion criteria, a total of 15 randomized controlled trials were included in the study, among which 6, 8 and 1 were low, medium and high risk literatures, respectively. A total of 732 samples were included in the study, including 316 in the experimental group and 416 in the control group. Meta analysis showed that the improvement of systolic blood pressure and diastolic blood pressure in the experimental group was better than that in the control group; Subgroup analysis showed that Tai Chi can significantly improve systolic and diastolic blood pressure in patients under 65 years of age; Multivariate Meta regression analysis failed to explain the source of inter-study heterogeneity, and the sensitivity analysis showed good homogeneity after excluding two poor-quality literatures. According to the Egger test, there was a significant publication bias in the literature on the effect of Tai Chi on systolic blood pressure, while there was no significant publication bias in the literature on the effect of diastolic blood pressure. Conclusion: Based on the existing evidence, Tai Chi is effective in the intervention of systolic and diastolic blood pressure in patients with essential hypertension, and should be paid attention to and popularized in the treatment of essential hypertension.

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