运动干预对2型糖尿病老年患者步行功能影响的Meta分析

doi:10.16460/j.issn1008-9969.2020.11.040

摘要/Abstract

摘要： 目的系统评价运动干预对2型糖尿病老年患者的步行功能的影响。方法计算机检索数据库PubMed、Web of Science、Cochrane Library、EMbase、CBM、中国知网、万方、维普,自建库至2019年7月1日,数据库中有关运动干预对2型糖尿病老年患者步行功能影响的随机对照试验,并追朔纳入研究的参考文献。按照纳入排除标准、提取资料并评价纳入研究的方法学质量后,采用RevMan5.3软件进行Meta分析。结果最终共纳入8篇文献,合计549例研究对象。Meta分析结果显示：运动能够减少2型糖尿病老年患者起立行走计时测试的时间,提高步行功能[MD=-1.63,95%CI（-1.83, -1.44）,P<0.01];运动干预能够提高2型糖尿病老年患者6 min步行的长度,提高步行耐力和速度[MD=68.72,95%CI（39.98, 97.45）,P<0.01],运动干预能够提高2型糖尿病老年患者2 min原地踏步的步数,提高下肢活动能力[MD=23.34,95%CI（19.28, 27.40）,P<0.01],运动干预能够提高2型糖尿病老年患者30 s座椅站立的次数,提高下肢力量[MD=3.69,95%CI（2.84, 4.55）,P<0.01]。结论运动干预可以改善2型糖尿病老年患者的步行功能。

关键词: 老年, 2型糖尿病, 运动干预, 步行功能, Meta分析

Abstract: Objective To systematically evaluate the effect of exercise on walking function of elderly patients with type 2 diabetes. Methods We search databases including PubMed, Web of Science, Cochrane Library, EMbase, CBM, CNKI, Wanfang and Weipu from the inception to July 1, 2019 for RCTs on the effect of exercise on walking function of elderly patients with type 2 diabetes. Meta analysis was performed using RevMan 5.3 software. Results Eight articles were finally included, with a total of 549 subjects. Meta-analysis results showed that exercise can shorten the time of standing walking time test and improve walking function [MD=-1.63, 95%CI(-1.83, -1.44), P<0.01] and can improve the length of 6-minute walk, walking endurance and speed [MD=68.72, 95%CI(39.98, 97.45), P<0.01]. Exercise can increase the number of steps of 2 minutes in situ, improve lower extremity mobility [MD=23.34, 95%CI(19.28, 27.40), P<0.01], increase the number of 30 s seat standing and improve lower limb strength [MD=3.69, 95%CI(2.84, 4.55), P<0.01]. Conclusion Exercise can improve walking function of elderly patients with type 2 diabetes.

Key words: elderly, type 2 diabetes, exercise, walking function, Meta-analysis

中图分类号:

刘敏, 刘安诺, 吴德全, 高宇, 陈国红, 朱桂月, 张萌, 马雯, 丁翠路. 运动干预对2型糖尿病老年患者步行功能影响的Meta分析[J]. 护理学报, 2020, 27(11): 40-45.

LIU Min, LIU An-nuo, WU De-quan, GAO Yu, CHEN Guo-hong, ZHU Gui-yue, ZHANG Meng, MA Wen, DING Cui-lu. Effect of Exercise on Walking Function of Elderly Type 2 Diabetic Patients：A Meta-analysis[J]. Journal of Nursing, 2020, 27(11): 40-45.

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