【摘要】：目的系統(tǒng)評(píng)價(jià)全身振動(dòng)訓(xùn)練對(duì)骨質(zhì)疏松患者的治療效果。方法計(jì)算機(jī)檢索Pub Med、EMbase、The Cochrane Library(2017年1期)、CBM、Wan Fang Data和CNKI數(shù)據(jù)庫,收集關(guān)于全身振動(dòng)訓(xùn)練對(duì)骨質(zhì)疏松患者效果的隨機(jī)對(duì)照試驗(yàn),檢索時(shí)限均從建庫至2017年1月31日。2名研究人員獨(dú)立篩選文獻(xiàn)、提取資料并評(píng)價(jià)納入研究的偏倚風(fēng)險(xiǎn)后,采用Rev Man 5.3軟件進(jìn)行Meta分析。結(jié)果共納入文獻(xiàn)8篇,657例患者。Meta分析結(jié)果顯示,與對(duì)照組相比,全身振動(dòng)訓(xùn)練對(duì)骨質(zhì)疏松患者的腰椎骨密度[MD=0.00,95%CI(-0.01~0.01),P=0.92]、橈骨松質(zhì)骨體積骨密度[MD=-0.87,95%CI(-2.93~1.20),P=0.41]、脛骨松質(zhì)骨體積骨密度[MD=0.34,95%CI(-0.69~1.38),P=0.52]沒有影響;但可以減輕患者的疼痛[MD=-0.67,95%CI(-1.12~-0.22),P=0.003]、降低跌倒發(fā)生率[MD=0.50,95%CI(0.29~0.86),P=0.01]。結(jié)論全身振動(dòng)訓(xùn)練并不能改善骨質(zhì)疏松患者的腰椎骨密度、脛骨和橈骨松質(zhì)骨體積骨密度,但可以減輕疼痛,而預(yù)防跌倒的效果及其安全性還有待進(jìn)一步的證實(shí)。
[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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