手术后的语音休息是没有必要的吗? 语音休息推结果的系统审查和元分析
Doreen Lam1, Katherine Xu1, Natasha Mirza2
1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Journal of voice : official journal of the Voice Foundation
|September 29, 2024
概括
经过微喉手术后的术后语音休息可能不会改善语音结果. 一项元分析发现,绝对语音休息和没有语音休息之间的语音障碍指数得分没有显著差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和语言病理学 语言病理学
背景情况:
- 语音休息 (VR) 是微喉手术后的常见建议,以加强恢复.
- 术后语音休息对语音结果的有效性仍在争论中.
- 这项研究是第一个系统性审查和元分析,评估绝对语音休息 (AVR) 与没有语音休息 (NVR) 对语音结果的影响.
研究的目的:
- 系统地审查和分析术后语音休息指令对微喉手术后语音结果的影响.
- 为了比较绝对语音休息 (AVR) 与无语音休息 (NVR) 在语音结果上的有效性.
主要方法:
- 在PubMed,Embase和Cochrane图书馆数据库中进行了系统的搜索,搜索2022年12月之前发表的研究.
- 使用ROBINS-I和ROB2工具评估了偏差风险.
- 对语音障碍指数 (VHI-10) 结果进行了随机效应模型元分析,比较了NVR和AVR.
主要成果:
- 九项研究符合纳入标准,其中包括四项随机对照试验 (RCT).
- 研究比较不同时间的AVR显示混合的结果,有些人发现没有差异,而另一些人更喜欢更短的时间.
- 对三项研究 (355名患者) 的分析显示,NVR和AVR之间的VHI-10变化没有显著差异 (平均差异=-0.87;95% CI,-2.51到0.77;P=0.27).
- 所有纳入的研究都表现出一些偏差风险.
结论:
- 经过微喉手术后的术后语音休息可能不会显著改善语音结果.
- 分析表明,绝对语音休息和没有语音休息之间在VHI-10结果中没有明显的差异.
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