全身振动训练对骨质疏松患者治疗效果的Meta分析

发布时间：2019-08-11 16:39

【摘要】：目的系统评价全身振动训练对骨质疏松患者的治疗效果。方法计算机检索Pub Med、EMbase、The Cochrane Library(2017年1期)、CBM、Wan Fang Data和CNKI数据库,收集关于全身振动训练对骨质疏松患者效果的随机对照试验,检索时限均从建库至2017年1月31日。2名研究人员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Rev Man 5.3软件进行Meta分析。结果共纳入文献8篇,657例患者。Meta分析结果显示,与对照组相比,全身振动训练对骨质疏松患者的腰椎骨密度[MD=0.00,95%CI(-0.01~0.01),P=0.92]、桡骨松质骨体积骨密度[MD=-0.87,95%CI(-2.93~1.20),P=0.41]、胫骨松质骨体积骨密度[MD=0.34,95%CI(-0.69~1.38),P=0.52]没有影响;但可以减轻患者的疼痛[MD=-0.67,95%CI(-1.12~-0.22),P=0.003]、降低跌倒发生率[MD=0.50,95%CI(0.29~0.86),P=0.01]。结论全身振动训练并不能改善骨质疏松患者的腰椎骨密度、胫骨和桡骨松质骨体积骨密度,但可以减轻疼痛,而预防跌倒的效果及其安全性还有待进一步的证实。
[Abstract]:Objective to systematically evaluate the therapeutic effect of systemic vibration training on patients with osteoporosis. Methods the database of Pub Med,EMbase,The Cochrane Library (2017, CBM,Wan Fang Data and CNKI were searched by computer. A randomized controlled trial on the effect of systemic vibration training on patients with osteoporosis was collected. The retrieval time was from the establishment of the database to January 31, 2017. Two researchers independently screened the literature, extracted the data and evaluated the bias risk of the study. Rev Man 5.3 software was used for Meta analysis. Results there were 8 articles and 657 patients. Meta-analysis showed that compared with the control group, the bone mineral density of lumbar vertebrae [MD=0.00,95%CI (- 0.01 鈮，

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