體育運動改善原發(fā)性高血壓的系統(tǒng)評價再評價

打開文本圖片集

Physical exercise improving essential hypertension：a re-evaluation of systematic review

YAN Yibo，HE FeiThe Second Clinical Medical College of Anhui Medical University，Anhui 230601 China Corresponding Author HE Fei

Abstract Objective：To evaluate the methodological quality and the evidence quality of the conclusions of systematic reviews on the effect of physical exercise on the improvement of blood pressure in patients with essential hypertension.Methods：Systematic reviews related to physical exercise in patients with essential hypertension were retrieved from the Cochrane Library，EMbase，CINAHL，PubMed，Web of Science，WanFang Database，China National Knowledge Infrastructure （CNKI），and VIP Database，from the establishment of the database to March 1，2022. Two researchers used the same search strategy to independently screen literature and extract data according to the established inclusion and exclusion criteria. The PRISMA statement was used to evaluate the literature quality report of the included systematic reviews，and the R-AMSTAR evaluation checklist and GRADE grading tool were used to evaluate the methodological quality and evidence quality level of the included studies.Results：A total of 16 meta-analyses were included in this study. According to the evaluation results of the PRISMA statement，the reporting quality of the 16 meta-analyses was all good. The R-AMSTAR evaluation results showed that the included literature′s methodological quality was high. GRADE evidence quality evaluation showed that the quality of evidence for 5 outcome indicators was high，17 was intermediate，18 was low，and 4 was extrmely low.Conclusions：The existing research results show that there is moderate quality evidence-based medical evidence to support the improvement of essential hypertension by physical exercise，but the methodological quality and evidence level of related systematic reviews or Meta-analyses are not high，and more high-quality clinical trial research could be carried out in the future to further confirm the conclusion.

Keywords physical exercise;essential hypertension;systematic review;re-evaluation;evidence-based nursing

摘要 目的：評價體育運動對原發(fā)性高血壓病人血壓改善效果相關(guān)系統(tǒng)評價的方法學(xué)質(zhì)量及其結(jié)論的證據(jù)質(zhì)量。（剩余12059字）