研究成年人气管切除术的消化障碍治疗:一个范围审查
Waiza Kadri1,2, Siofra Mulkerrin3, Rhiannon Halfpenny2,4
1Northwick Park Hospital, London North West University Healthcare NHS Trust, London, UK.
Disability and rehabilitation
|October 17, 2025
概括
有限的证据表明,在成年人有气管切除管 (TT) 的情况下,缺食治疗是有效的. 喉电刺激 (PES) 是有前途的,但需要更多的研究来标准化方案和结果测量在失调管理.
科学领域:
- 临床实践指南 临床实践指南
- 吞障碍 吞障碍 吞障碍
- 呼吸系统护理 呼吸系统护理
背景情况:
- 缺食症在成年人中很常见,这些成年人有气管切除管 (TT).
- 目前对这种人群的消化障碍治疗的证据有限.
- 缺乏标准化的协议和结果措施.
研究的目的:
- 审查有关TT成年人的消化障碍治疗的经验证据.
- 为了指导临床实践和未来的研究讨论.
- 确定现有的失调治疗方法的方法特征.
主要方法:
- 对十个电子数据库进行了范围审查.
- 根据纳入标准,分析了24项研究.
- 治疗方法被分类,并使用TIDieR检查清单评估干预措施.
主要成果:
- 喉电刺激 (PES) 显示了对脱管的显著结果.
- 九项研究使用了多种干预措施,没有明确的方法学区分.
- 结果措施是多样化的,其应用是有限的.
结论:
- 描述了TT患者的缺食症治疗方法,但在PES之外的结论很难得出.
- 进一步的研究对于建立标准化协议至关重要.
- 需要标准化的结果措施,以有效地管理TT患者的功能障碍.
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