吞咽康复训练对喉切除术后患者吞咽功能及生活质量影响的Meta分析

Effects of swallowing rehabilitation training on swallowing function and quality of life of patients after laryngectomy:a meta-analysis

目的探讨吞咽康复训练对喉切除术后患者吞咽功能及生活质量的影响。方法计算机检索Cochrane Library、PubMed、Embase、Web of Science、CINAHL、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于吞咽康复训练对喉癌术后患者吞咽功能及生活质量影响的随机对照试验,检索时限均为建库至2024年2月1日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心关于随机对照试验类的文献质量评价工具(2016)对纳入文献进行评价;采用RevMan 5.3软件进行Meta分析。结果最终纳入10篇文献,共987例患者。Meta分析结果显示,吞咽康复训练可以改善喉切除术后患者的吞咽功能(P<0.01);吞咽康复训练可以提高喉切除术后患者生活质量(P<0.01)。结论吞咽康复训练可提高喉切除术后患者吞咽功能及生活质量,值得在临床实践中应用。

ObjectiveTo explore the effects of swallowing rehabilitation training on swallowing function and quality of life in patients after laryngectomy.MethodsRandomized controlled trials on the effects of swallowing rehabilitation training on swallowing function and quality of life in postoperative laryngeal cancer patients were electronically retrieved from the Cochrane Library,PubMed,Embase,Web of Science,CINAHL,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biology Medicine disc.The search period was from database establishment to February 1,2024.The quality evaluation criteria for randomized controlled trials of Joanna Briggs Institute Evidence-Based Health Care Center(2016)was used to evaluate the included literature.RevMan 5.3 software was used for meta-analysis.ResultsA total of ten articles were included,with 987 patients.Meta-analysis showed that swallowing rehabilitation training could improve the swallowing function(P<0.01)and quality of life(P<0.01)of patients after laryngectomy.ConclusionsSwallowing rehabilitation training can improve patients'swallowing function and quality of life after laryngectomy and is worth applying in clinical practice.