喉癌患者吞咽康复训练干预效果的meta分析

doi:10.3969/j.issn.1006-5253.2022.05.015

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Abstract

Objective To evaluate the effectiveness of swallowing rehabilitation training among patients with laryngeal neoplasm with meta-analysis.Methods We searched databases including Cochrane Library, PubMed, Embase, Web of Science, CNKI, Wanfang, VIP and CBM from the inception of them to December 1, 2021 and included randomized controlled trials (RCTs) reporting the effectiveness of swallowing rehabilitation training in patients with laryngeal neoplasm. Meta-analysis was performed by RevMan 5.4 software after the quality evaluation.Results Fourteen RCTs with 1 210 patients were included in this meta-analysis. The meta-analysis results showed that swallowing rehabilitation training could reduce the score of Standardized Swallowing Assessment (SSA) scale (MD=-7.21, 95%CI:9.58~-4.85), and improve the normal rate of swallowing function (RR=1.46, 95%CI:1.29~1.64), shorten the indwelling time of gastric tube (MD=-4.92, 95%CI:-5.67--4.16), reduced the reintubation rate of gastric tube (RR=0.18, 95%CI: 0.07~0.49), incidence of aspiration (RR=0.36, 95%CI:0.20~0.65) and the incidence of pneumonia (RR=0.17, 95%CI:0.05~0.65).Conclusion Swallowing rehabilitation training can effectively improve the swallowing function of patients with laryngeal neoplasm, accelerate the process of gastric tube removal, and reduce the rate of reintubation, aspiration and aspiration pneumonia.

Key words： swallowing rehabilitation training laryngeal neoplasm dysphagia meta-analysis nursing care

Received: 08 May 2022

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	Wang Lili
	Yan Wanhua
	Chen Li′e

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Wang Lili,Yan Wanhua,Chen Li′e. Effectiveness of swallowing rehabilitation training in patients with laryngeal neoplasm: a meta-analysis[J]. journal1, 2022, 29(5): 388-396.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2022.05.015 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2022/V29/I5/388

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