呼吸训练对吞功能在吞障碍中的影响:系统性审查和元分析
Yinuo Dai1, Jianzheng Cai1, Haifang Wang2
1Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China.
概括
呼吸训练干预措施显示,有望提高患有乱症的患者的吞安全性和效率. 需要进一步的研究来确认有效性和了解潜在的生理学.
科学领域:
- 临床医学 临床医学
- 康复医学 康复医学 康复医学
- 语音语言病理学 语言病理学
背景情况:
- 吞障碍 (吞障碍) 显著影响患者的生活质量.
- 呼吸训练是应对吞困难的一种新兴干预措施.
- 关于呼吸训练治疗缺食症有效性的证据需要进行系统评估.
研究的目的:
- 系统地审查呼吸训练干预措施对患有吞障碍的患者吞功能的临床疗效.
- 综合了随机对照试验的研究结果,评估了对缺食症的呼吸训练.
主要方法:
- 在2022年12月,在五个主要数据库 (PubMed,科学网,科克兰图书馆,CINAHL,EMBASE) 进行了系统的文献搜索.
- 经过严格的研究选择和质量评估,包括了6项随机对照研究,涉及193名参与者.
- 数据提取和分析的重点是吞安全性,效率和相关的生理措施.
主要成果:
- 呼吸训练显著改善了吞安全性,通过透吸收量表 (PAS) 来衡量.
- 通过减少残留物来表明吞效率,通过呼吸训练干预措施显著提高.
- 定性分析表明,呼吸训练对舌骨运动有积极影响,但没有影响生活质量.
结论:
- 呼吸训练干预措施显示,在患有食障碍的人群中,有潜力提高吞安全性和效率.
- 目前的证据水平较低,强调需要进行更广泛的研究.
- 未来的研究应该专注于扩大临床试验,标准化结果测量和完善研究方案,以更好地了解生理机制和临床有效性.
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