甲状腺切除患者发音异常非药物干预的最佳证据总结

Summary of the best evidence for non-pharmacological interventions for dysphonia in thyroidectomised patients

目的检索、归纳、总结甲状腺切除患者发音异常非药物干预的相关证据。方法系统检索BMJ Best Practice、UpToDate、美国国立指南库、国际指南协作网、英国国家卫生与临床优化研究所、医脉通、Cochrane Library、PubMed、CINAHL、Web of Science、中国生物医学文献数据库、中国知网、万方数据库,检索时限为建库至2022年12月11日,获取近5年内有关甲状腺切除患者发音异常相关的文献,经过文献筛选和文献质量评价后进行证据的归纳与总结。结果最终纳入8篇文献,其中6篇指南,1篇专家共识,1篇系统评价,共提取了18条最佳证据,并将其归纳为语音功能评估、颈部锻炼、语音训练、健康教育与心理支持4个类别。结论本研究可为甲状腺切除患者发音异常非药物干预管理提供循证依据,医护人员在应用证据时应结合临床实际情况,进行有针对性的转化应用。

Objective Searching,generalising and summarising evidence on non-pharmacological interventions for abnormal pronunciation in thyroidectomised patients.Methods The literature on abnormal pronunciation in patients undergoing thyroidectomy published in the past 5 years was systematically searched in British Medical Journal(BMJ)Best Practice,UpToDate,Agency for Healthcare Research and Quality,Guidelines International Network,National Institute for Health and Clinical Excellence,Medlive,Cochrane Library,PubMed,CINAHL,Web of Science,China Biomedical Literature Database,China National Knowledge Infrastructure,and Wanfang Database.The search period was from the establishment of the database to December 11,2022.After literature screening and quality evaluation,the evidence was summarized.Results A total of eight articles were included,including six guidelines,one expert consensus,and one systematic review.A total of 18 best pieces of evidence were extracted and categorized into four categories,including speech function assessment,neck exercise,speech training,health education and psychological support.Conclusions This study can provide evidence-based basis for non-pharmaceutical intervention management of abnormal pronunciation in patients undergoing thyroidectomy.When applying evidence,medical and nursing staff should combine it with clinical practice and conduct targeted transformation and application.