冠状病毒对感染患者心肺适能与肌肉适能影响的系统评价

doi:10.15942/j.jcsu.2020.06.015

成都体育学院学报 ›› 2020, Vol. 46 ›› Issue (6): 92-99.doi: 10.15942/j.jcsu.2020.06.015

• 运动人体科学与运动训练 • 上一篇下一篇

冠状病毒对感染患者心肺适能与肌肉适能影响的系统评价

黄婷¹, 赵广高¹, 梁凯婷¹, 何梓豪¹, 全明辉², 苏利强³, 夏志⁴, 付近梅⁵, 孙顺利⁵, 吕文娣¹, 王润泽¹

1.南昌大学体育学院,江西南昌 330031;
2.上海体育学院运动科学学院,上海 200438;
3.福建师范大学体育科学学院,福建福州 350117;
4.井冈山大学体育学院,江西吉安 343009;
5.江西省体育科学研究所,江西南昌 330006

收稿日期:2020-03-15 修回日期:2020-07-06 出版日期:2020-11-15 发布日期:2020-11-26
通讯作者: 赵广高, 博士, 副教授, 硕士生导师, 研究方向: 运动与健康促进, E-mail: zhaogg2002@163.com。
作者简介:黄婷, 硕士研究生, 研究方向:运动与健康促进, E-mail: 735060516@qq.com。
基金资助:
国家自然科学基金资助项目“抗阻运动通过亮氨酰tRNA合成酶调控mTORC1信号通路改善衰老骨骼肌营养感应的研究”(31960192);教育部人文社会科学研究一般项目“幼儿体质健康关键性影响因素的队列研究”(18YJC890060);南昌大学研究生创新专项项目“学龄儿童身体活动与体质健康关系的聚类分析”(CX2019046)。

Systematic Review of the Effects of Coronavirus on Cardiopulmonary Fitness and Muscular Fitness in Infected Patients

HUANG Ting¹, ZHAO Guanggao¹, LIANG Kaiting¹, HE Zihao¹, QUAN Minghui², SU Liqiang³, XIA Zhi⁴, FU Jinmei⁵, SUN Shunli⁵, LV Wendi¹, WANG Runze¹

1. School of Physical Education, Nanchang University, Nanchang Jiangxi 330031;
2. School of Kinesiology, Shanghai University of Sport, Shanghai 200438;
3. School of Physical Education and Sport Science, Fujian Normal University, Fuzhou Fujian 350117;
4. Physical Education College, Jinggangshan University, Jian Jiangxi 343009;
5. Jiangxi Institute of Sports Science, Nanchang Jiangxi 330006

Received:2020-03-15 Revised:2020-07-06 Online:2020-11-15 Published:2020-11-26

摘要/Abstract

摘要： 目的:探讨冠状病毒对感染患者心肺适能与肌肉适能的影响,为新型冠状病毒肺炎患者的后期运动康复提供依据。方法:通过PubMed、Web of Science、CNKI等数据库检索现有发表的国内外有关人类致命冠状病毒与患者心肺适能、肌肉适能等关系的相关文献,根据纽卡斯尔-渥太华量表(NOS)对纳入文献进行质量评价,提取文献相关信息进行系统评价综合分析。结果:共纳入23篇文献,22篇非随机化研究NOS质量评分平均分为6.9分,1篇随机对照研究为低偏倚风险。患者出院后心肺适能和肌肉适能指标均低于健康人群。患者心肺适能在出院后3年内逐渐恢复,但最大摄氧量(O₂ max)3年内未完全康复,6分钟步行距离(6MWD)1年内未完全康复。患者肌肉适能指标握力、仰卧起坐、俯卧撑出院2周后差于健康人群。运动干预可使患者O₂ max、6MWD、握力、仰卧起坐、俯卧撑水平显著提升。患者感染程度、确诊天数、住院天数等分别与握力、6MWD等显著相关。结论:冠状病毒可导致感染患者心肺适能和肌肉适能受损。患者出院后心肺适能和肌肉适能呈好转趋势,但仍需较长时间才能完全康复。患者心肺适能与肌肉适能的变化受感染程度、确诊天数、住院天数等因素的影响。

关键词: 冠状病毒, 心肺适能, 肌肉适能, 最大摄氧量

Abstract: Objective: To explore the effect of coronavirus on cardiopulmonary fitness and muscular fitness in infected patients, and to provide basis for the later exercise rehabilitation of patients with new coronavirus pneumonia (COVID-19). Methods: PubMed, Web of Science, CNKI and other databases were used to search existing published domestic and foreign related literature on the relationship between coronavirus and patients' cardiopulmonary fitness and muscular fitness, according to the non-randomized Newcastle-Ottawa scale. (NOS) Perform quality evaluation on the included literature, extract relevant information from the literature, and conduct a comprehensive analysis of systematic evaluation. Results: A total of 23 articles were included. The average score of NOS in 22 non-randomized studies was 6.9, and one randomized controlled study had a low risk of bias. The results showed that the patients' cardiopulmonary fitness and muscular fitness indicators were lower than those of healthy people after discharge. The patients' cardiopulmonary fitness gradually recovered within 3 years after discharge, but the maximum oxygen uptake (VO2 max) did not fully recover within 3 years, and the 6-minute walking distance (6MWD) did not fully recover within 1 year. The patient's muscular fitness index grip strength, sit-ups, and push-ups were lower than those in the healthy group 2 weeks after discharge. Exercise intervention can significantly improve patients' VO2 max, 6MWD, grip strength, sit-ups and push-ups. The number of patients diagnosed and hospitalized days were significantly related to grip strength and 6MWD. Conclusion: Coronavirus can cause damage to cardiopulmonary and muscular fitness in patients with infection. Cardiopulmonary fitness and muscular fitness are increasing after discharge, but it still takes a long time to fully recover. Changes in cardiopulmonary fitness and muscular fitness in patients were affected by factors such as the number of days diagnosed and the length of hospital stay.

Key words: coronavirus, cardiopulmonary fitness, muscular fitness, maximum oxygen uptake

中图分类号:

G804.49

黄婷, 赵广高, 梁凯婷, 何梓豪, 全明辉, 苏利强, 夏志, 付近梅, 孙顺利, 吕文娣, 王润泽. 冠状病毒对感染患者心肺适能与肌肉适能影响的系统评价[J]. 成都体育学院学报, 2020, 46(6): 92-99.

HUANG Ting, ZHAO Guanggao, LIANG Kaiting, HE Zihao, QUAN Minghui, SU Liqiang, XIA Zhi, FU Jinmei, SUN Shunli, LV Wendi, WANG Runze. Systematic Review of the Effects of Coronavirus on Cardiopulmonary Fitness and Muscular Fitness in Infected Patients[J]. Journal of Chengdu Sport University, 2020, 46(6): 92-99.

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冠状病毒对感染患者心肺适能与肌肉适能影响的系统评价

Systematic Review of the Effects of Coronavirus on Cardiopulmonary Fitness and Muscular Fitness in Infected Patients

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