中医传统功法对中风患者肺功能影响的Meta分析

作     者：李萍 谭欣欣 王梦玲 杨周燕 李中正 刘莉 

作者机构：吉首大学医学院湖南 吉首 湖南医药学院总医院湖南 怀化 

出 版 物：《护理学》 (Nursing Science)

年 卷 期：2025年第14卷第1期

页      面：131-140页

学科分类：040304[教育学-民族传统体育学] 0403[教育学-体育学] 04[教育学] 

基　　金：2023年湖南省研究生科研创新项目(编号:CX20231090) 

主　　题：中风 中医传统功法 肺功能 康复 Meta分析 

摘      要：目的:评价中医传统功法对中风患者肺功能的康复效果。方法:检索7个中外文数据库中使用中医传统功法对中风患者进行干预的随机对照研究,检索时间截至2024年7月,应用RevMan5.4软件进行数据分析。结果:共纳入10篇文献,包括4种功法:太极、八段锦、六字诀及五禽戏。Meta分析结果显示:试验组第1秒用力呼气容积(FEV1) (SMD = 0.80, 95% CI (0.42~1.18), P Objective: To evaluate the effectiveness of traditional Chinese medicine (TCM) exercises in stroke patient’s lung function. Methods: 7 Chinese and foreign databases were searched to collect the randomized controlled trials (RCTs) on the intervention of stroke patients using TCM exercises that were published before July 2024, and RevMan5.4 software was utilized to analyse the data. Results: A total of 10 articles were included, involving 4 TCM exercises: Taiji, Baduanjin, Liuzijue and Wuqinxi. The experimental group demonstrated significantly better improvements in forced expiratory volume in one second (FEV1) (SMD = 0.80, 95% CI (0.42~1.18), P 0.0001), forced vital capacity (FVC) (SMD = 0.56, 95% CI (0.21~0.90), P = 0.002), peak expiratory flow (SMD = 0.74, 95% CI (0.50~0.97), P 0.00001), maximal voluntary ventilation (SMD = 0.37, 95% CI (0.08~0.66), P = 0.01), and maximal inspiratory pressure (SMD = 0.46, 95% CI (0.07~0.86), P = 0.02) compared to the control group. For 3~12 weeks of intervention, the improvement of FEV1, FVC, PEF and MVV in experimental group demonstrated significantly better compared to the control group (P 0.05). However, after 4 weeks of intervention, there was no statistical difference in maximal inspiratory pressure between the two groups (SMD = 0.49, 95% CI (−0.24~1.23), P = 0.19). None of the included articles reported adverse events of TCM exercises. Conclusion: Based on conventional rehabilitation, the combination of TCM exercises can better improve the lung function for stroke patients and promote lung rehabilitation. Nevertheless, further multi-center, large-sample, long-term RCTs are required to evaluate the effectiveness on maximal inspiratory pressure.