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电刺激治疗放疗引起的唾液分泌减少

Electrical stimulation in the treatment of radiotherapy-induced hyposalivation.

作者信息

Paim Émille Dalbem, Berbert Monalise Costa Batista, Zanella Virgilio Gonzales, Macagnan Fabricio Edler

机构信息

Irmandade Santa Casa de Misericórdia de Porto Alegre - Porto Alegre (RS), Brasil.

Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.

出版信息

Codas. 2019 Sep 2;31(4):e20180176. doi: 10.1590/2317-1782/20192018176.

Abstract

PURPOSE

To analyze the effects of electrical stimulation on the salivary flow of head and neck cancer patients with radiotherapy-induced hyposalivation.

RESEARCH STRATEGIES

Searches were made in the Medline (via Pubmed), Cochrane Library, Scopus and Lilacs databases.

SELECTION CRITERIA

Selection included clinical trials that evaluated salivary flow objectively, published in the last 10 years in either Portuguese, English or Spanish.

DATA ANALYSIS

The PEDro scale was used for the methodological evaluation of the studies.

RESULTS

The search strategy resulted in 21 publications, 17 of which were excluded, hence there were 4 articles left. The included studies had a total of 212 participants, all of whom had an increase in salivary flow, both through the electroacupuncture method and direct application on the salivary glands. The score obtained through the PEDRo scale was low, evidencing questionable methodological quality and risk of bias.

CONCLUSION

The included studies demonstrate the clinical potential of TENS to increase the salivary flow of head and neck cancer patients treated with RT.

摘要

目的

分析电刺激对头颈部癌症放疗致唾液分泌减少患者唾液流量的影响。

研究策略

检索了医学期刊数据库(通过PubMed)、考克兰图书馆、Scopus数据库和拉丁美洲及加勒比卫生科学数据库。

选择标准

选择过去10年以葡萄牙语、英语或西班牙语发表的、客观评估唾液流量的临床试验。

数据分析

使用PEDro量表对研究进行方法学评估。

结果

检索策略共检索到21篇文献,排除17篇,最终纳入4篇文章。纳入研究共有212名参与者,通过电针疗法和直接作用于唾液腺的方法,所有参与者的唾液流量均有所增加。通过PEDro量表获得的评分较低,表明方法学质量存疑且存在偏倚风险。

结论

纳入研究表明经皮电刺激神经疗法在增加接受放疗的头颈部癌症患者唾液流量方面具有临床潜力。

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