神经损伤与功能重建2025，Vol.20Issue(7)：402-407,419,7.DOI:10.16780/j.cnki.sjssgncj.20240725
呼吸肌训练对脑卒中后吞咽功能障碍疗效的Meta分析
Efficacy of Respiratory Muscle Training on Swallowing Dysfunction after Stroke:a Meta-analysis
摘要
Abstract
Objective:To systematically evaluate the efficacy of respiratory muscle training(RMT)on swallowing dysfunction after stroke.Methods:Relevant randomized controlled trials(RCTs)were searched in electronic databases including VIP,Wanfang Data,China National Knowledge Infrastructure(CNKI),Chinese Biomedical Literature Database(CBM),as well as PubMed,Embase,Web of Science,and the Cochrane Library.The search covered Chinese and English literature published from the inception of each database to August 2024.Meta-analysis was conducted using RevMan 5.4 software.Stata 18.0 software was employed to assess publication bias,and the GRADE system was used to evaluate the quality of evidence.Results:A total of 23 RCTs involving 1 233 patients were included.The Meta-analysis results demonstrated that,compared with conventional swallowing therapy,the experimental group showed significant improvements in clinical total effective rate[OR=5.24,95％CI(3.41,8.04),P＜0.001],videofluoroscopic swallowing study(VFSS)score[MD=1.51,95％CI(1.25,1.77),P＜0.001],Standardized Swallowing Assessment(SSA)score[MD=-4.91,95％CI(-6.37,-3.46),P＜0.001],Penetration-Aspiration Scale(PAS)score[MD=-0.87,95％CI(-1.35,-0.39),P＜0.001],and Functional Oral Intake Scale(FOIS)score[MD=0.42,95％CI(0.26,0.57),P＜0.001].According to the GRADE evidence quality evaluation,the evidence levels for clinical total effective rate,VFSS,and FOIS were of moderate quality,while those for SSA and PAS were of low quality.Conclusion:Current evidence suggests that RMT can improve swallowing function in stroke patients,enhance the strength of swallowing muscles,and reduce the occurrence of aspiration and choking.关键词
脑卒中/呼吸肌训练/吞咽困难/吞咽功能/Meta分析Key words
stroke/respiratory muscle training/dysphagia/swallowing function/meta-analysis分类
医药卫生引用本文复制引用
高世爱,于子夫,陈金慧,曹新燕,冷晓轩,刘西花..呼吸肌训练对脑卒中后吞咽功能障碍疗效的Meta分析[J].神经损伤与功能重建,2025,20(7):402-407,419,7.基金项目
山东省中医药科技项目(循经点穴对脑卒中后痉挛状态的临床疗效及机制研究,No.M-2023142) （循经点穴对脑卒中后痉挛状态的临床疗效及机制研究,No.M-2023142）
山东省医务职工科技创新计划项目(针刺同步康复对脑卒中后肢体功能障碍的临床疗效研究,No.SDYWZGKCJH2022024) （针刺同步康复对脑卒中后肢体功能障碍的临床疗效研究,No.SDYWZGKCJH2022024）
