为了确定不同运动方式与不同训练周期的不同组合对乳腺癌患者生活质量和疼痛症状改善的影响。通过计算机网络搜索 PubMed、Web of Science、Embase 和 Scopus 数据库检索截止日期为2023年8月23日。两名研究者独立对纳入文献进行文献筛选、数据提取和方法学质量评估，然后使用stata17.0进行相应的统计分析和绘图。36项随机对照试验（RCT）研究涉及 3003 名参与者，包括七种锻炼方式。与常规护理相比，大多数运动方式改善了患者的生活质量，其中长期有氧运动结合抗阻运动[SMD = 0.83,95% CI = 0.34,1.33,p = 0.001]和瑜伽[SMD = 0.61,95] % CI = 0.06,1.16,p = 0.029] 治疗具有显着效果。对于疼痛和疲劳相关的结局指标，与对照组相比，分析中包含的所有运动方式的治疗效果并不显着，但往往对患者有益。长期有氧运动结合抗阻运动是最有效的改善乳腺癌患者的生活质量和疲劳状态，有氧运动对于改善乳腺癌患者的疼痛症状更有效。版权所有：© 2024 Dong et al.这是一篇根据知识共享署名许可条款分发的开放获取文章，允许在任何媒体上不受限制地使用、分发和复制，前提是注明原始作者和来源。

To determine the effect of different combinations of different exercise modalities with different training cycles on the improvement of quality of life and pain symptoms in breast cancer patients.The databases PubMed, Web of Science, Embase, and Scopus were searched through a computer network with a search deadline of 23 August 2023. Two researchers independently screened the literature, extracted data and performed methodological quality assessment of the included literature, and then performed the corresponding statistical analyses and graphing using stata17.0.Thirty-six randomized control trial (RCT) studies involving 3003 participants and seven exercise modalities were included. Most of the exercise modalities improved patients' quality of life compared to usual care, with long-term aerobic combined with resistance exercise [SMD = 0.83,95% CI = 0.34,1.33,p = 0.001] and YOGA [SMD = 0.61,95% CI = 0.06,1.16,p = 0.029] treatments having a significant effect. For pain and fatigue-related outcome indicators, the treatment effect was not significant for all exercise modalities included in the analysis compared to the control group, but tended to be beneficial for patients.Long-term aerobic combined with resistance exercise was the most effective in improving quality of life and fatigue status in breast cancer patients, and aerobic exercise was more effective in improving pain symptoms in breast cancer patients.Copyright: © 2024 Dong et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.