The effects of exercise therapy in children with congenital heart disease:a systematic review

VernacularTitle:先天性心脏病患儿运动疗法效果的系统评价
Author: Yan CHEN ; Yu LI ; Jiamei ZHOU ; Li ZHANG
Keywords: Heart defects,congenital; Children; Exercise therapy; Meta-analysis
From: Chinese Journal of Practical Nursing 2017;33(18):1437-1440
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effects of exercise therapy in children with congenital heart disease. Methods To search databases such as PubMed, Medline, Science Direct, Embase, Cochrane Library, China National Knowledge Infrastructure, WanFang, VIP, China Biology Medicine for all the randomized controlled trials. After evaluating the quality of each article, the software of RevMan 5.3 were used to analyze. Results A total of 10 randomized controlled trials were included. Compared with the routine nursing, meta-analysis showed that exercise therapy can improve the peak oxygen uptake(MD=4.82,95%CI 2.25-7.39, P=0.0002) and the postoperative compliance (RR=2.84, 95%CI 1.75-4.63, P<0.01), shorten the postoperative hospital time(MD=- 4.41,95% CI - 6.15-- 2.68, P <0.01). Conclusions Exercise therapy can improve the pulmonary function and quality of life on children with congenital heart disease, shorten the postoperative hospital time, increasing the postoperative compliance. However, there were few research on present, so we need a large sample randomized controlled trials of long time to confirm the effects of exercise therapy.