[1]张晋,宋昌梅,杲春阳,等.中医传统功法治疗原发性高血压疗效Meta分析[J].西部中医药,2021,34(05):79-84.[doi:10.12174/j.issn.2096-9600.2021.05.21]
　ZHANG Jin,SONG Changmei,GAO Chunyang,et al.Meta Analysis of Clinical Effects of TCM Traditional Exercise in the Treatment for Primary Hypertension[J].Western Journal of Traditional Chinese Medicine,2021,34(05):79-84.[doi:10.12174/j.issn.2096-9600.2021.05.21]
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中医传统功法治疗原发性高血压疗效Meta分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年05期
页码:
79-84
栏目:
出版日期:
2021-05-15

文章信息/Info

Title:
Meta Analysis of Clinical Effects of TCM Traditional Exercise in the Treatment for Primary Hypertension
作者:
张晋, 宋昌梅, 杲春阳, 张兰凤
中国中医科学院西苑医院，北京 100000
Author(s):
ZHANG Jin, SONG Changmei, GAO Chunyang, ZHANG Lanfeng
Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100000, China
关键词:
高血压; 传统功法; 系统评价; Meta分析
Keywords:
hypertension; traditional exercise; systematic evaluation; Meta analysis
分类号:
R283
DOI:
10.12174/j.issn.2096-9600.2021.05.21
摘要:
目的系统评价中医多种传统功法对高血压患者血压的影响。 方法计算机检索中英文数据，收集中医多种传统功法对高血压患者血压影响的随机对照试验。由2名研究者进行文献筛选和文献质量评价后，运用Stata 14软件对纳入的RCT进行Meta分析。 结果共纳入20篇RCT（中文18篇，英文2篇）文献，共1841例高血压患者，其中治疗组912例，对照组929例。Meta分析结果显示，传统功法降压的效应值优于步行｛收缩压［SMD=0.61，95%CI（0.41，0.81），P＜0.001］、舒张压［SMD=0.33，95%CI（0.14，0.53），P＜0.001］｝及空白对照｛收缩压［SMD=0.90，95%CI（0.40，1.39），P＜0.001］、舒张压［SMD=0.85，95%CI（0.53，1.17），P＜0.001］｝，传统功法联合降压药降压的疗效｛收缩压［SMD=0.93，95%CI（0.68，1.18），P＜0.001］、舒张压［SMD=0.79，95%CI（0.53，1.04），P＜0.001］｝较单用降压药好，传统功法+降压药+健康教育的降压效应也优于降压药联合健康教育｛收缩压［SMD=1.09，95%CI（0.80，1.38），P＜0.001］、舒张压［SMD=1.21，95%CI（0.51，1.91），P＜0.001］｝。 结论与其他非药物治疗方式相比，传统功法在降压方面可能有一定优势，但与药物治疗相比是否更有效，仍需更多临床研究进行探讨。
Abstract:
ObjectiveTo systematically assess the influence of TCM traditional exercises on blood pressure in hypertension patients. MethodsEnglish and Chinese data were retrieved using computer to collect randomized controlled trial(RCT) about the effects of TCM traditional exercises on blood pressure of hypertension patients. Meta analysis of the included RCT was performed using Stata 14 software after literature screening and quality assessment by two investigators. ResultsAltogether 20 RCTs were included (18 Chinese and two English), 1841 hypertension patients in all, among them, 912 patients were in the treatment group and 929 in the control group. The results of Meta analysis showed that the effect size of traditional exercise was superior to that of walking(systolic pressure [SMD=0.61, 95%CI (0.41, 0.81), P＜0.001], diastolic pressure[SMD=0.33, 95%CI (0.14, 0.53), P＜0.001]and blank control(systolic pressure[SMD=0.90, 95%CI(0.40, 1.39), P＜0.001], diastolic pressure[SMD=0.85, 95%CI(0.53, 1.17), P＜0.001], traditional exercise joined with hypotensive drugs(systolic pressure[SMD=0.93, 95%CI (0.68, 1.18), P＜0.001], diastolic pressure[SMD=0.79, 95%CI (0.53, 1.04), P＜0.001] were better than only hypotensive drugs, after health education, antihypertensive effects of traditional exercise combined with hypotensive drugs were apparently superior to these of hypotensive drugs and health education(systolic pressure [SMD=1.09, 95%CI(0.80, 1.38), P＜0.001], diastolic pressure[SMD=1.21, 95%CI(0.51, 1.91), P＜0.001]. ConclusionCompared with other non-drug treatment, traditional exercise might own a certain advantage, but whether it is more effective compared with drug treatment needs more clinical studies.

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备注/Memo

备注/Memo:
张晋（1969—），女，博士学位，主任医师。研究方向：治未病的中医药研究。国家重点研发计划资助项目（2018YFC2000600）。
更新日期/Last Update: 2021-05-15