在急性和重症监护中治疗失调症的神经刺激:系统性审查,对对和网络元分析
Chang Liu1, Lan Chen1, Xiuqin Feng1
1Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Journal of oral rehabilitation
|March 3, 2026
概括
神经刺激疗法,包括NMES+TDT,在急性和重症监护患者的吞功能方面显示出显著的益处. 虽然一些方法 (如NMES+TDT) 似乎最有效,但对于其他方法 (如ta-VNS+TDT) 需要进一步研究.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 关键的护理关键的护理
背景情况:
- 缺食症是急性和重症监护患者的常见和严重并发症.
- 在这种人群中,神经刺激疗法对失消症的临床疗效仍在争论中.
- 需要进行全面的文献审查,以澄清这些干预措施的好处.
研究的目的:
- 系统地审查和评估各种神经刺激疗法的有效性,以治疗急性和重症监护患者的缺食症.
- 为了比较不同神经刺激方式及其与传统失消症治疗的组合的疗效.
- 确定最有前途的神经刺激方法来改善吞功能.
主要方法:
- 在多个数据库 (PubMed,Cochrane,Embase等) 中进行系统搜索. 在2025年4月16日之前进行.
- 确定并分析了符合条件的随机临床试验 (RCT),涉及急性和危急性疾病患有失消症的患者.
- 关于研究群体,治疗和结果的数据被提取用于对对和网络元分析.
主要成果:
- 44项涉及2198名患者的研究评估了5种神经刺激类型:ta-VNS,NMES,rTMS,tDCS和PES.
- 神经刺激疗法显著改善了治疗后的吞功能,口服摄入率,并在1个月和2个月的随访中吞.
- NMES+TDT,rTMS+TDT,NMES,tDCS+TDT,rTMS,PES+TDT和PES都表现出有效性,其中NMES+TDT可能是最有效的.
结论:
- 几种神经刺激疗法,特别是NMES+TDT,在急性和重症监护患者的吞功能改善方面是有效的.
- 经皮耳迷走神经刺激 (ta-VNS) 与传统的消化障碍治疗 (TDT) 结合的有效性需要进一步验证.
- 这些发现支持将特定的神经刺激技术整合到重症患者的失管理协议中.
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