国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (22): 3757-3763.DOI: 10.3760/cma.j.issn.1007-1245.2024.22.014

• Meta 分析 • 上一篇    下一篇

运动干预对肺癌患者健康相关生活质量影响的meta分析

赵金鹏1  高呈飞2  孙建超1   

  1. 1烟台市莱阳中心医院胸心外科,烟台 265200;2青岛大学附属医院康复医学科,青岛 266001

  • 收稿日期:2024-06-27 出版日期:2024-11-15 发布日期:2024-11-16
  • 通讯作者: 孙建超,Email:sdlysjc@126.com
  • 基金资助:

    山东省自然科学基金青年项目(ZR2021QH062)

Effect of exercise interventions on health-related quality of life in patients with lung cancer: a meta-analysis

Zhao Jinpeng1, Gao Chengfei2, Sun Jianchao1   

  1. 1 Department of Cardiothoracic Surgery, Yantai Laiyang Central Hospital, Yantai 265200, China; 2 Department of Rehabilitation Medicine, The Affiliated Hospital of Qingdao University, Qingdao 266001, China

  • Received:2024-06-27 Online:2024-11-15 Published:2024-11-16
  • Contact: Sun Jianchao, Email: sdlysjc@126.com
  • Supported by:

    Natural Science Foundation of Shandong Province (ZR2021QH062)

摘要:

目的 系统评价运动干预对肺癌患者健康相关生活质量的影响。方法 检索PubMed、Embase、Cochrane library、万方、中国知网等数据库,获取从数据库建立至2024年3月关于“运动干预对肺癌患者生活质量影响”的临床随机对照试验,对符合纳入标准的文献进行数据提取,应用STATA软件进行meta分析。结果 最终纳入12项研究,共涉及333例患者。meta分析结果显示,运动训练可以提高肺癌患者的总体健康状况/生活质量[加权均数差(WMD)=6.70,95%置信区间(CI)2.49~10.90,P=0.002]及身体功能(WMD=1.78,95%CI 0.22~3.33,P=0.025),改善呼吸困难(WMD=-5.65,95%CI -8.62~-2.68,P<0.001)和疼痛症状(WMD=-8.26,95%CI -14.66~-1.87,P=0.011),但对患者的疲劳程度(WMD=-4.04,95%CI -8.76~0.69,P=0.094)无明显作用。结论 运动干预可以有效提高肺癌患者的健康相关生活质量,未来需要更多的随机对照试验进一步验证。

关键词:

肺癌, 运动干预, 生活质量, meta分析

Abstract:

Objective To systematically evaluate the effect of exercise interventions on health-related quality of life in patients with lung cancer. Methods A literature search was conducted on PubMed, Embase, Cochrane library, Wanfang, and CNKI databases until March 2024 for randomized controlled trials about effect of exercise interventions on health-related quality of life in patients with lung cancer. Data from studies meeting the inclusion criteria were extracted, and a meta-analysis was performed using STATA software. Results A total of 12 trials involving 333 patients were included. The results of meta-analysis showed that exercise interventions improved the overall health status/quality of life [weighted mean difference (WMD) =6.70, 95% confidence interval (CI): 2.49, 10.90, P=0.002] and physical function (WMD=1.78, 95%CI: 0.22, 3.33, P=0.025) of lung cancer patients, ameliorated dyspnea (WMD=-5.65, 95%CI: -8.62, -2.68, P<0.001) and pain symptoms (WMD=-8.26, 95%CI: -14.66, -1.87, P=0.011), but had no significant effect on patients' fatigue (WMD=-4.04, 95%CI: -8.76, 0.69, P=0.094). Conclusion Exercise interventions can effectively improve the health-related quality of life in patients with lung cancer, and more randomized controlled trials are needed to confirm these findings.

Key words:

Lung cancer, Exercise interventions, Quality of life, Meta analysis