游泳训练对血压、血脂等心血管疾病危险因素影响的Meta分析

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摘要目的系统评价游泳训练对于血压、血脂等心血管疾病危险因素的影响。方法计算机检索Cochrane图书馆、Pubmed、EMbase、SCI、中国生物医学文献数据库、中国期刊全文数据库、维普数据库、万方数据库,纳入关于游泳训练对于心血管系统功能获益的随机对照试验,对纳入研究进行偏倚风险分析,并对同质性结果进行Meta 分析。结果共纳入11项研究,合计410例研究对象。Meta分析结果显示,游泳训练降低收缩压[MD＝-6.07, 95％CI(-10.19,-1.95),P<0.01]、舒张压[MD＝-2.77,95％CI(-5.09,-0.45),P<0.01]、静息心率[MD＝-4.63,95％CI(-5.21,-4.04),P<0.01]、总胆固醇[MD＝-9.05,95％CI(-11.32,-6.77),P<0.01]、低密度脂蛋白[MD＝-4.08,95％CI(-5.69,-2.48),P<0.01]、三酰甘油[MD＝-8.16,95％CI(-12.33,-4.00),P<0.05]的效果显著优于对照组,差异有统计学意义。结论游泳训练可以使患者在心血管系统健康,包括血压、血脂等方面显著获益。

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	陈润都
	孟凡鹏
	张梅

关键词 ：游泳, 心血管疾病危险因素, Meta分析, 随机对照试验

Abstract：Objective To systematically evaluate the effects of swimming training on the cardiovascular system.Methods The Cochrane Library, PubMed, Embase, SCI, Chinese Biomedical Literature Database, Chinese Journal full-text Database, VIP Database and Wanfang Database were searched via the computer. Randomized controlled trials on the benefit of swimming training for functions of the cardiovascular system were included in this study. Bias risk analysis was performed for inclusion study and meta-analysis was performed for homogeneous results.Results The results of meta-analysis showed that swimming training reduced systolic blood pressure [MD=-6.07, 95%CI (-10.19,-1.95), P<0.01)], diastolic blood pressure [MD=-2.77,95%CI (-5.09,-0.45), P<0.01], resting heart rate[MD=-4.02, 95% CI(-5.47,-2.56), P<0.01)], total cholesterol[MD＝-9.05,95％CI(-11.32,-6.77),P<0.01], LDL[MD=-4.08,95%CI(-5.69,-2.48),P<0.01), and triglyceride[MD=-8.40, 95%CI (-15.16,-1.63), P<0.05]more significantly than in the control group, and there was significant difference between the two groups.Conclusions Swimming training can significantly benefit patients in terms of cardiovascular system health, including blood pressure and blood lipids.

Key words： swimming cardiovascular disease risk factors meta analysis randomized controlled trial

收稿日期: 2019-06-24

ZTFLH:	G861.1
	G804.2

基金资助:天津市自然科学基金重点项目 (16JCZDJC31900)

通讯作者: 张梅, E-mail:chyouyou@126.com

作者简介: 陈润都,硕士研究生。

引用本文:

陈润都, 孟凡鹏, 张梅. 游泳训练对血压、血脂等心血管疾病危险因素影响的Meta分析[J]. 武警医学, 2020, 31(1): 1-4. CHEN Rundu, MENG Fanpeng, and ZHANG Mei. Meta analysis of effects of swimming training on cardiovascular disease risk factors such as blood pressure and blood lipids. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(1): 1-4.

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http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2020/V31/I1/1

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