神经损伤与功能重建2026,Vol.21Issue(1):7-12,6.DOI:10.16780/j.cnki.sjssgncj.20240361
多种干预措施治疗帕金森病后吞咽障碍的网状meta分析
A Network Meta-analysis of Multiple Interventions for the Treatment of Dysphagia after Parkinson's Disease
摘要
Abstract
Objective:To systematically evaluate the effect of various interventions on the improvement of swallowing function in patients with Parkinson's disease.Methods:CNKI,Wanfang,VIP,CBM,PubMed,Medline and Web of science databases were searched to collect RCTs on different treatment methods for dysphagia in Parkinson's patients from inception to March 15,2024.RevMan 5.4.1 software was used to evaluate the quality of the included studies,and Stata 17.0 software was used for network meta-analysis.Results:A total of 29 studies involving 1 870 patients were included,involving 13 treatment methods such as acupuncture,electrical stimulation,and respiratory training.The results of network meta-analysis showed that the best training effect was respiratory training in improving the clinical efficiency and PAS of Parkinson's disease.In terms of improving SSA and Kubota drinking water scores,repetitive transcranial magnetic stimulation and electrical stimulation have the best effect.Conclusion:The existing evidence shows that respiratory training is the most likely to be the best intervention for Parkinson's dysphagia.Repetitive transcranial magnetic stimulation and electrical stimulation also have certain advantages.关键词
帕金森病/吞咽障碍/干预措施/网状Meta分析Key words
Parkinson's disease/dysphagia/interventions/Network Meta-analysis分类
医药卫生引用本文复制引用
杨媛媛,杜锦超,雷俊芳,周珊珊,冯露叶,汤继芹..多种干预措施治疗帕金森病后吞咽障碍的网状meta分析[J].神经损伤与功能重建,2026,21(1):7-12,6.基金项目
山东中医药大学科研创新团队基金资助项目(经方治疗重大疾病作用机理与疗效评价科研创新团队,No.220316) (经方治疗重大疾病作用机理与疗效评价科研创新团队,No.220316)
山东省高等学校科技计划项目(针刺配合康复训练治疗脑中风后吞咽障碍的循证研究,No.J14LK08) (针刺配合康复训练治疗脑中风后吞咽障碍的循证研究,No.J14LK08)