Meta-analysis of the effect of home-based cardiac rehabilitation training on ejection fraction, blood lipid and exercise endurance in patients with coronary heart disease
10.3760/cma.j.issn.1674-2907.2019.31.008
- VernacularTitle:家庭心脏康复训练对冠心病患者射血分数、血脂及运动耐力影响的Meta分析
- Author:
Yun TIAN
1
;
Yan ZHENG
;
Jieqiong WANG
;
Bing LI
;
Pingji DENG
Author Information
1. 湖北医药学院护理学院
- Keywords:
Meta-analysis;
Coronary heart disease;
Home-based cardiac rehabilitation;
Ejection fraction;
Blood lipid;
Exercise endurance
- From:
Chinese Journal of Modern Nursing
2019;25(31):4024-4031
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of home-based cardiac rehabilitation training on ejection fraction, blood lipid and exercise endurance in patients with coronary heart disease. Methods Randomized controlled trials (RCTs) on the effect of home-based cardiac rehabilitation training on ejection fraction, blood lipid and exercise endurance in patients with coronary heart disease were searched via computer in PubMed, Web of Science, Embase, Cochrane Library database, Wanfang database, CNKI database, VIP database and CBMdisc. After literature screening, data extraction and quality evaluation, Revman5.3 software was used for meta-analysis. Results A total of 11 articles were included. Meta analysis showed that, compared with the conventional treatment group, home-based cardiac rehabilitation training could effectively improve patients' ejection fraction[MD=1.81,95%CI(0.68,2.95),P=0.002],exercise endurance[MD=21.97,95% CI(1.80, 42.14), P=0.03], and reduce cholesterol level[MD=-0.15,95%CI(-0.23,-0.07), P＜ 0.01]. However, there was no significant improvement on high-density lipoprotein, low-density lipoprotein, triglyceride (P＞0.05). Sensitivity analysis showed that the overall results of the study were relatively stable, and individual study had no significant influence on the overall results. Conclusions Home-based cardiac rehabilitation training can significantly improve patients' ejection fraction and exercise endurance and reduce cholesterol level, but in terms of improving patients' high density lipoprotein, low density lipoprotein and triglyceride, more large sample, multi-center long-term studies are needed to verify.
