颅脑损伤气管切开术后吞咽障碍康复的Meta分析

Meta analysis of rehabilitation of dysphagia in craniocerebral trauma patients after tracheotomy

[目的]评价颅脑损伤气管切开术后吞咽障碍康复的效果。[方法]检索CNKI、Wan Fang Date、VIP、CBM、PubMed、Web of Science、EBSCO host、Elsevier,搜集颅脑损伤气管切开术后吞咽障碍康复的随机对照试验,采用RevMan 5.3软件进行Meta分析。[结果]共纳入14个研究、1 007例病人。两组颅脑损伤气管切开术后吞咽障碍康复的总有效率、痊愈率、吸入性肺炎发生率、吞咽功能评分比较差异有统计学意义(P<0.05);营养不良或脱水相关并发症比较差异无统计学意义(P>0.05)。[结论]综合康复治疗能有效改善颅脑损伤病人气管切开术后吞咽障碍的状况,提高治愈率,减少吸入性肺炎、营养不良或脱水等并发症。

Objective To evaluate the rehabilitation effect of dysphagia in craniocerebral trauma patients after tracheotomy. Methods ： The randomized controlled trials about rehabilitation of dysphagia in craniocerebral tra u -ma patients after tracheotomy were searched in the data of CNKIWan Fang Date, VIP , CBM, PubMed, Web of Science ,EBSCO host and Elsevier.RevMan 5.3 software was used for Meta - analysis. Results ： A total of 14 stu d-ies involving 1 007 patients were included.The results showed that there was statistically significant the total effective rate , the cure rate , the incidence of inhaled pneumonia and the score of swallowing function between both groups （P 〈0.05）; the malnutrition or dehydration related complications was not statistically significant （P 〉0.05）.（C oncl usi on： Implementation of rehabilitation nursing measures could effectively improve dysphagia in craniocerebral trauma patients after tracheotomy, improve the curerate , reduce aspiration pneumo-nia and malnutrition or dehydration or other complications？thereby enhancing the swallowing function score.