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部分舌切除术后的言语和吞咽康复:一项系统综述

Speech and swallow rehabilitation following partial glossectomy: a systematic review.

作者信息

Blyth Katrina M, McCabe Patricia, Madill Cate, Ballard Kirrie J

机构信息

Royal Prince Alfred Hospital , Sydney , Australia.

出版信息

Int J Speech Lang Pathol. 2015;17(4):401-10. doi: 10.3109/17549507.2014.979880. Epub 2014 Dec 17.

DOI:10.3109/17549507.2014.979880
PMID:25515427
Abstract

PURPOSE

Tongue cancer is known to negatively affect both speech and swallowing function; however this is the first review to report speech-language pathology (SLP) intervention for both functions following partial glossectomy.

METHOD

Using a PRISMA approach, systematic screening of nine databases was undertaken. Original studies reporting SLP rehabilitation for speech and/or swallowing dysfunction with participants following partial glossectomy as primary cancer treatment were included.

RESULT

These studies are discussed in terms of SLP assessment and intervention trends as well as quality according to current research method standards (levels of evidence, Pedro-P, SCED) in order to determine suitability for guiding current clinical practice.

CONCLUSION

Publications were few (n = 7) and mostly of non-experimental design. This review highlights the gap in evidence and questions the rationale of current SLP rehabilitation following partial glossectomy.

摘要

目的

已知舌癌会对言语和吞咽功能产生负面影响;然而,这是首篇报告针对部分舌切除术后这两种功能进行言语语言病理学(SLP)干预的综述。

方法

采用PRISMA方法,对九个数据库进行了系统筛选。纳入了以部分舌切除术作为原发性癌症治疗方法的参与者,报告针对言语和/或吞咽功能障碍进行SLP康复的原始研究。

结果

根据当前研究方法标准(证据水平、佩德罗 - P、SCED),从SLP评估和干预趋势以及质量方面对这些研究进行了讨论,以确定其指导当前临床实践的适用性。

结论

相关出版物较少(n = 7),且大多为非实验性设计。本综述突出了证据方面的差距,并对部分舌切除术后当前SLP康复的基本原理提出了质疑。

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