1. 呼吸训练对慢性心力衰竭患者预后影响的 meta 分析.
- Author
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李梦较, 江 萍, 付 迪, 曹英华, and 周 艳
- Abstract
Objective To systematically evaluate the effects of breathing exercises on cardiopulmonary function, exercise endurance and quality of life in patients with chronic heart failure (CHF). Methods Computerized searches of CNKl, Wanfang, VIP, PubMed, EBSCO, Embase, Web of Science, The Cochrane Library, SinoMed, and other databases were conducted to retrieve information on the effects of cardiopulmonary function, exercise tolerance, and quality of life in patients with CHF from inception to December 2023 in a series of randomized controlled trials (RCT). Two researchers independently performed literature screening, data extraction and quality evaluation. Finally, meta-analysis was performed using RevMan 5. 4 software. Pulmonary function indexes included peak oxygen uptake (PeakVO2) and carbon dioxide ventilation equivalent slope (VE/VCO2 slope). Cardiac function indexes included left ventricular ejection fraction (LVEF) and brain natriuretic peptide precursor (NT-proBNP). PeakVO2 and six min walking test (6MWT) were used to evaluate exercise tolerance. Minnesota heart failure quality of life scale (MLHFQ) was used to evaluate quality of life. Results A total of 13 RCTs literature involving 900 patients were included. Compaired with control group, the descriptive results showed that breathing exercises of obviouse group significantly enhanced PeakVO2 [standardized mean deviation (SMD) =0. 47, 95% confidence internal (95%CI) 0.03-0.91, P=0. 04], VE/VCO2 [mean difference (MD) =-3. 20, 95%CI-4.49--1.19, P<0.001], improved NT-proBNP (MD=-134. 25, 95%CI-141.95--126. 56, P<0.001), LVEF (SMD=0.53, 95%CI 0. 16-0. 90, P=0.005), 6MWT (MD=77.71, 95%CI 69.50-85.92, P<0.001), MLHFQ (MD=-7.68, 95%CI-8.99--6.37, P<0. 001). Conclusion Breathing exercises can significantly increase lung function and exercise tolerance in patients with CHF, and improve cardiac function and quality of life of them to a certain extent. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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