Effects of different rehabilitation interventions on exercise tolerance and lung function in patients with pneumoconiosis：A network meta-analysis

Abstract

Abstract: Objective To evaluate the effect of various rehabilitation interventions on exercise tolerance and pulmonary function in patients with pneumoconiosis by network meta-analysis. Methods The Pubmed,Embase,Cochrane library,Web of science,CNKI,Wanfang,VIP and Chinese Biomedical Literature databases were searched to collect the literature that meets the analysis purpose,and the search time limit was from inception to March 2022. Two researchers independently screened literature,extracted data,and assessed the risk of bias in included studies,and data analysis was performed by using the Stata 16.0 software. Results Totally 29 randomized control trials（RCT） were included,involving 2 573 patients and 10 interventions,including comprehensive pulmonary rehabilitation,acupuncture,exercise training,respiratory training,health education,respiratory combined exercise training,health education+respiratory training,Baduanjin,respiratory training+TCM intervention and usual care. For improving exercise tolerance in patients with pneumoconiosis,the respiratory combined with exercise training,comprehensive pulmonary rehabilitation,Baduanjin,respiratory training+TCM intervention,exercise training,respiratory training,and acupuncture had better effect than usual care,the differences were statistically significant（all P<0.05）,and the best ranking result was respiratory combined with exercise training. For improving pulmonary function,the health education+respiratory training had better effect than usual care,the difference was statistically significant（P<0.05）,and the best ranking result was health education+respiratory training. For improving the quality of life,there were no statistically significant differences among eight interventions（all P>0.05）,and the best ranking result was respiratory combined with exercise training. Conclusion The respiratory combined exercise training,and health education+respiratory training may be the best intervention measures for improving exercise endurance,pulmonary function,and quality of life in patients with pneumoconiosis,in the future,it can be prioritized in clinical practice.

Key words: Pneumoconiosis, Rehabilitation, Pulmonary function, Exercise endurance, Network meta-analysis

CLC Number:

R135.2

MA Xiu-juan, HAN Xin-yi, ZHANG Zhi-gang, ZHAO Ta-na, ZENG Yin-ru. Effects of different rehabilitation interventions on exercise tolerance and lung function in patients with pneumoconiosis：A network meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(5): 692-700.

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