《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (06): 592-597.

• 论文 • 上一篇    下一篇

太极拳改善乳腺癌患者生存质量随机对照试验的系统评价

晏利姣，曹卉娟，郝玉芳   

  1. 1.北京中医药大学，a. 护理学院；b. 循证医学中心，北京市100029。
  • 收稿日期:2012-11-26 修回日期:1900-01-01 出版日期:2013-06-25 发布日期:2013-06-25
  • 通讯作者: 郝玉芳

Effect of Tai Chi on Quality of Life of Patients with Breast Cancer: A Systematic Review of Randomized Controlled Trials

YAN Li-jiao, CAO Hui-juan, HAO Yu-fang.   

  1. Nursing School, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2012-11-26 Revised:1900-01-01 Published:2013-06-25 Online:2013-06-25

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被引次数

8

摘要： 目的评价太极拳运动对乳腺癌患者生存质量的干预效果。方法计算机检索中英文数据库10 个，包括PubMed、Cochrane Library、Springer、Elsevier、SCI、CBM、CNKI、万方数据库、博硕论文数据库、临床试验注册网站，检索年限从建库到2012 年3 月，其中中文数据库以“乳腺癌”或“乳腺肿瘤”、“太极拳”或“太极”，英文用“breast cancer”或“breast carcinoma”、“tai ji”或“tai chi”为主题词和关键词进行检索，筛选符合纳入标准的随机对照试验(RCT)。由两名研究者对符合纳入标准的文献进行严格评价和资料提取，并对结果进行定性描述或定量综合。结果共纳入4 项RCT，7 篇文献，共169 名受试者。4 项研究都有高偏倚风险。Meta分析结果显示，太极拳对乳腺癌患者的生存质量的干预效果与对照组(常规康复训练、社会心理治疗和空白组)无显著性差异(SMD 0.03, 95%CI: -0.85, 0.91, P=0.94)。另外，有两项研究发现太极拳对提高患者肌力和肩关节活动度有显著效果。结论太极拳对改善乳腺癌患者肌力和肩关节活动度可能具有一定效果，但对生存质量、体重指数、疲乏等的疗效证据不足。

关键词: 太极拳, 乳腺癌, 系统评价, 生存质量, 随机对照试验

Abstract: Objective To evaluate the effectiveness of Tai chi on quality of life of breast cancer patients. Methods Articles from 10 English and Chinese Databases from inception to March 2012 were recalled. 2 researchers independently screened titles and abstracts for eligible trials, methodological quality was assessed according to risk of bias items. Meta-analysis would be used if data available. Results 4 randomized trials with 169 participants were included. All trials had high risk of bias. 2 studies demonstrated significant improvement in Tai chi group for improving shoulder functional capacity which caused by breast cancer. The meta-analysis failed to demonstrate significant effects of Tai chi compared with control interventions (psychological support therapy, standard health care, routine rehabilitation training) in improving quality of life (SMD 0.03, 95%CI: -0.85, 0.91, P=0.94). Conclusion Tai chi is effective on shoulder functional capacity of breast cancer, but not significantly on quality of life.

Key words: Tai ji, breast cancer, systematic review, quality of life, randomized controlled trial