摘要
[目的]系统评价早期与稳定期肺康复干预对急性期慢性阻塞性肺疾病(AECOPD)病人的影响。[方法]计算机检索PubMed、EMbase、WebofScience、theCochraneLibrary、OVID、CINAHL、中国知网、维普、万方等数据库。收集关于不同时期肺康复应用于AECOPD病人的随机对照试验(RCT),使用Cochrane评价手册进行质量评价,并采用RevMan5.3进行Meta分析。[结果]共纳入8项RCT。Meta分析结果显示,与稳定期肺康复相比,急性期早期干预组可改善呼吸困难[MD=-0.39,95%CI(-0.70,-0.08),P=0.01]、抑郁[MD=-1.51,95%CI(-2.22,-0.81),P=0.0001],减少总康复训练时间[MD=-20.16,95%CI(-24.10,-16.23),P=0.00001]。[结论]对AECOPD病人进行早期肺康复干预能改善呼吸困难、抑郁状态,减少总康复训练。
Objective: To systematicaly evaluate the effects of pulmonary rehabilitation intervention in early or late period for AECOPD patients. Methods: Databases including PubMed,EMbase,Web of Science,the Cochrane Library,OVID,CINAHL,CNKI,VIP,WanFang Database were retrieved.Informations about randomized controlled trials (RCTs) of pulmonary rehabilitation in different periods for AECOPD patients were collected.Cochrane reviewers′ handbook was used for quality evaluation and RevMan 5.3 statistical software were used for Meta-analysis. Results: 8 RCTs were included.Meta-analysis results showed that compared with the delay pulmonary rehabilitation,early intervention could relieve dyspnea degree [MD=-0.39,95% CI (-0.70,-0.08), P = 0.01],depression level[MD=-1.51,95% CI (-2.22,-0.81), P =0.000 1],reduce total rehabilitation training time[MD=-20.16,95% CI (-24.10,-16.23), P =0.000 01]. Conclusion: Early pulmonary rehabilitation intervention for AECOPD patients can relieve dyspnea,depression,reduce total rehabilitation training time.
作者
何雪冬
王芳
王瑶
王婧
易静
HE Xuedong;WANG Fang;WANG Yao;WANG Jing;YI Jing(Chengdu University of TCM,Sichuan 610075 China)
出处
《循证护理》
2019年第9期777-783,共7页
Chinese Evidence-Based Nursing
关键词
慢性阻塞性肺疾病
时机
肺康复
呼吸困难
抑郁
系统评价
chronic obstructive pulmonary disease
treatment period
pulmonary rehabilitation
dysphea
depressed systematic review
