呼吸训练对患有神经性失调症的患者吞功能的影响:系统性审查和元分析
Xiaoke Li1, Jing Zhang1, Yongkang Zhu1
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases, Beijing, 100081, China.
概括
呼吸道肌肉强度训练显著改善了神经性失调症患者的吞功能. 这种方法可以增强呼吸力和协调力,降低吸气风险,帮助中风等神经系统疾病后的康复.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 语音语言病理学 语音语言病理学
背景情况:
- 神经性消化障碍是神经疾病的常见并发症,显著影响生活质量.
- 吞功能受损增加了吸入性肺炎和营养不良的风险.
- 为了应对这些挑战,正在越来越多地探索呼吸训练方法.
研究的目的:
- 系统地审查神经性失调症的呼吸训练方法.
- 评估这些方法改善吞功能的临床疗效.
- 为个性化治疗方案提供指导.
主要方法:
- 16项研究的系统审查 (11项RCT,5项准实验).
- 搜索了9个主要数据库,截至2024年1月.
- 评估吞功能作为主要结果.
- 使用Cochrane偏差风险和JBI工具评估研究质量.
主要成果:
- 呼吸道肌肉力量训练显示,吞功能显著改善 (SMD = -0.89,P <0.01).
- 这种训练增强了呼吸能力,并改善了呼吸和吞之间的协调.
结论:
- 呼吸道肌肉力量训练是改善神经性消化不良症吞的关键方法.
- 它通过增强呼吸控制,有效降低吸入风险.
- 建议进一步研究独立呼吸训练的有效性.
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