CAJ | 학술논문

目的：系统评价身体训练应用于血管迷走性晕厥患者预防晕厥复发的效果。方法制定纳入及筛选文献的标准,通过计算机检索2002—2013年 Cochrane 图书馆、Pubmed、Medline、EMbase、Elsevier、Ovid、中国知网、万方数据中关于晕厥患者身体训练的随机对照临床试验。结果纳入文献6篇。 Meta分析结果显示：身体训练治疗血管迷走性晕厥的随机对照试验( RCT),试验组252例晕厥患者的复发率显著低于对照组265例(R=0.40,95%CI：0.24~0.69,P=0.0005)。结论本研究结果支持身体训练可能是治疗血管迷走性晕厥的有效方式,有待更大规模、设计更精确严格、多中心的随机对照试验进一步分析并研究其疗效。
목적：계통평개신체훈련응용우혈관미주성훈궐환자예방훈궐복발적효과。방법제정납입급사선문헌적표준,통과계산궤검색2002—2013년 Cochrane 도서관、Pubmed、Medline、EMbase、Elsevier、Ovid、중국지망、만방수거중관우훈궐환자신체훈련적수궤대조림상시험。결과납입문헌6편。 Meta분석결과현시：신체훈련치료혈관미주성훈궐적수궤대조시험( RCT),시험조252례훈궐환자적복발솔현저저우대조조265례(R=0.40,95%CI：0.24~0.69,P=0.0005)。결론본연구결과지지신체훈련가능시치료혈관미주성훈궐적유효방식,유대경대규모、설계경정학엄격、다중심적수궤대조시험진일보분석병연구기료효。
Objective To summarize present randomized controlled trials ( RCTs) and assess the effect of physical training on vasovagal syncope using meta-analysis method. Methods According to inclusion and exclusion criteria of literature review, articles during 2012 to 2013 were selected from medical electronic databases searching, including Cochrane Library, PubMed, Medline, EMBASE, Elsevier, Ovid, CNKI, and Wanfang by computer. Results Six RCTs were selected finally. According to Meta-analysis of 6 RCTs, it represented that 6 RCTs included totally 250 patients in treatment group and 265 patients in control group, and indicated patients in treatment group ( 252 cases ) having lower rate of syncope recurrence as compared with control group (265 cases) (RR =0. 40, 95%CI; 0. 24 -0. 69,P =0. 000 5). Conclusions The currently published RCTs support that physical training can be effective treatment of vasovagal syncope and further large-scale multicentre and better designed study were still expected to give more convincing evidence.