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目的 总结国内外老年人平衡功能非药物干预的最佳证据。方法 按照“6S”证据模型自上而下的原则，系统检索国内外数据库、指南网站中关于老年人平衡功能非药物干预的相关证据，检索文献类型包括指南、专家共识、系统评价、Meta分析、证据总结以及随机对照试验。检索时限设定为建库至2023年12月。由2名研究者负责评价纳入的文献质量，并进行资料提取与证据汇总。结果 共有32篇文献符合纳入标准，包括指南2篇、专家共识1篇、系统评价7篇、Meta分析9篇以及随机对照试验13篇。从老年人平衡功能的运动干预、认知干预、虚拟技术干预、饮食干预、综合干预、健康教育、环境干预、其他形式干预以及干预实施和监测共9个方面，汇总了36条最佳证据。结论 老年人平衡功能非药物干预措施形式多样，内容丰富，应根据实际情况和老年人自身条件选择合适的干预方案，并做好干预过程的质量监控。
Abstract：Objective To summarize the best evidence on non-pharmacological interventions for improving balance function in the elderly from domestic and international studies. Methods Following the top-down principle of the “6S” evidence model, a systematic search was conducted in domestic and international databases, and guideline websites, for evidence related to non-pharmacological interventions for balance function in the elderly. The search included guidelines, expert consensus statements, systematic reviews, meta-analyses, evidence summaries, and randomized controlled trials(RCTs), covering the period from the inception of the databases up to December 2023. Two researchers were responsible for evaluating the quality of the included literature, extracting data, and summarizing the evidence. Results A total of 32 articles were included, comprising 2 guidelines, 1 expert consensus, 7 systematic reviews, 9 meta-analyses and 13 RCTs. From these, 36 pieces of best evidence were identified across 9 categories: exercise interventions, cognitive interventions, virtual technological interventions, dietary interventions, comprehensive interventions, health education, environmental interventions, other forms of interventions and the implementation and monitoring of interventions. Conclusions Non-pharmaceutical intervention measures for the balance function of the elderly are diverse in form and rich in content. Appropriate intervention plans should be selected based on the actual situation and the individual conditions of elderly, and the quality monitoring of the intervention process should be well done.
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基本信息:
中图分类号:R161.7
引用信息:
[1]朱瑜可,倪一丹,殷曈曈,等.老年人平衡功能非药物干预最佳证据总结[J].老年医学研究,2025,6(04):63-69.
基金信息:
苏州大学苏州医学院2023年大学生创新训练项目（2023xj036,老年人平衡功能非药物干预最佳证据总结）
2025-08-25
2025-08-25