哮喘患者的吸气肌训练:随机对照研究的荟萃分析

IF 0.5 4区医学 Q4 REHABILITATION

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2022-01-24 DOI:10.1055/a-1510-3422

Ying Chen, Hai-Bin Fu

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引用次数: 1

摘要

吸气肌训练(IMT)对哮喘控制的效果仍有争议。我们通过系统回顾和荟萃分析来探讨IMT对哮喘控制的影响。方法检索PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库，检索评估IMT控制哮喘疗效的随机对照试验(rct)。本荟萃分析采用随机效应模型。结果meta分析共纳入6项rct。总体而言，与哮喘对照组相比，IMT可显著提高MIP (SMD=3.32;95% CI=1.73 ~ 4.91;P<0.0001)，降低呼吸困难评分(SMD= - 0.77;95% CI= - 1.34 ~ - 0.21;P=0.007)，但对FEV1无明显影响(SMD=0.36;95% CI= - 0.74 ~ 1.45;P=0.52)或FVC (SMD=2.09;95% CI= - 0.70 ~ 4.89;P = 0.14)。结论IMT治疗哮喘有一定的疗效。

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Inspiratory Muscle Training for Asthmatic Patients: A Meta-Analysis of Randomized Controlled Studies

Introduction The efficacy of inspiratory muscle training (IMT) for asthma control remains controversial. We conduct a systematic review and meta-analysis to explore the influence of IMT on asthma control. Methods We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through May 2020 for randomized controlled trials (RCTs) assessing the efficacy of IMT for asthma control. This meta-analysis is performed using the random-effect model. Results Six RCTs are included in the meta-analysis. Overall, compared with control group for asthma, IMT can remarkably increase MIP (SMD=3.32; 95% CI=1.73 to 4.91; P<0.0001) and decrease dyspnea scores (SMD=−0.77; 95% CI=−1.34 to −0.21; P=0.007), but has no obvious effect on FEV1 (SMD=0.36; 95% CI=−0.74 to 1.45; P=0.52) or FVC (SMD=2.09; 95% CI=−0.70 to 4.89; P=0.14). Conclusions IMT may benefit to the treatment of asthma.

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来源期刊

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin 医学-康复医学

CiteScore

1.10

自引率

25.00%

发文量

审稿时长

3 months

期刊介绍： The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.