太极运动处方的临床证据：系统评价,Evidence-based Complementary and Alternative Medicine

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太极运动处方的临床证据：系统评价
Evidence-based Complementary and Alternative Medicine Pub Date : 2021-03-11 , DOI: 10.1155/2021/5558805
Jiafu Huang ₁ , Dandan Wang ₁ , Jinghao Wang ₁

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目标。本系统综述旨在总结太极随机对照试验（RCT）的现有文献，并针对不同疾病和人群推荐太极运动处方。方法。从成立到 2019 年 12 月，在五个电子数据库（PubMed、Cochrane Library、EMBASE、EBSCO 和 Web of Science）中对太极 RCT 进行了系统搜索。使用 SPSS 20.0 软件和 Microsoft Excel 2019 分析数据，并RevMan 5.3.5 软件中的偏倚风险工具用于评估 RCT 的方法学质量。结果. 共鉴定出139篇文章，包括患病人群（95, 68.3%）和健康人群（44, 31.7%）。患病人群包括以下10种疾病类型：肌肉骨骼系统或结缔组织疾病（34.7%）、循环系统疾病（23.2%）、精神行为障碍（12.6%）、神经系统疾病（11.6%）、呼吸系统疾病（ 6.3%）、内分泌、营养或代谢疾病（5.3%）、肿瘤（3.2%）、外伤、中毒和某些其他外因后果（1.1%）、泌尿生殖系统疾病（1.1%）、眼部疾病和附件（1.1%）。太极拳运动处方一般归类为中等强度。最常用的太极拳是杨式（92, 66.2%），最常用的太极拳形式是简化的24式太极拳（43, 30. 9%）。12周和24周，每周2-3次，每次60分钟是太极拳运动处方中最常用的运动周期、频率和时间。结论。我们根据太极拳的临床证据，针对不同的疾病和人群推荐更常用的太极拳运动处方。进一步开展太极拳临床研究，应结合运动处方原则，开展大样本流行病学研究和长期前瞻性随访研究，为太极运动处方提供更多实质性临床依据。

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Clinical Evidence of Tai Chi Exercise Prescriptions: A Systematic Review

Objectives. This systematic review aims to summarize the existing literature on Tai Chi randomized controlled trials (RCTs) and recommend Tai Chi exercise prescriptions for different diseases and populations. Methods. A systematic search for Tai Chi RCTs was conducted in five electronic databases (PubMed, Cochrane Library, EMBASE, EBSCO, and Web of Science) from their inception to December 2019. SPSS 20.0 software and Microsoft Excel 2019 were used to analyze the data, and the risk of bias tool in the RevMan 5.3.5 software was used to evaluate the methodological quality of RCTs. Results. A total of 139 articles were identified, including diseased populations (95, 68.3%) and healthy populations (44, 31.7%). The diseased populations included the following 10 disease types: musculoskeletal system or connective tissue diseases (34.7%), circulatory system diseases (23.2%), mental and behavioral disorders (12.6%), nervous system diseases (11.6%), respiratory system diseases (6.3%), endocrine, nutritional or metabolic diseases (5.3%), neoplasms (3.2%), injury, poisoning and certain other consequences of external causes (1.1%), genitourinary system diseases (1.1%), and diseases of the eye and adnexa (1.1%). Tai Chi exercise prescription was generally classified as moderate intensity. The most commonly applied Tai Chi style was Yang style (92, 66.2%), and the most frequently specified Tai Chi form was simplified 24-form Tai Chi (43, 30.9%). 12 weeks and 24 weeks, 2-3 times a week, and 60 min each time was the most commonly used cycle, frequency, and time of exercise in Tai Chi exercise prescriptions. Conclusions. We recommend the more commonly used Tai Chi exercise prescriptions for different diseases and populations based on clinical evidence of Tai Chi. Further clinical research on Tai Chi should be combined with principles of exercise prescription to conduct large-sample epidemiological studies and long-term prospective follow-up studies to provide more substantive clinical evidence for Tai Chi exercise prescriptions.

更新日期：2021-03-11

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