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脑卒中患者吞咽障碍康复概述。

An overview of dysphagia rehabilitation for stroke patients.

机构信息

Hospital Geral de Fortaleza, Serviço de Fonoaudiologia, Fortaleza CE, Brazil.

Universidade Federal do Ceará, Faculdade de Medicina, Fortaleza CE, Brazil.

出版信息

Arq Neuropsiquiatr. 2022 Jan;80(1):84-96. doi: 10.1590/0004-282X-ANP-2021-0073.

Abstract

BACKGROUND

Dysphagia is characterized by difficulty in the swallowing pattern at any stage of this neuromuscular process. It is a frequent symptom after stroke.

OBJECTIVE

This study aimed to investigate the most commonly used phonoaudiological interventions as therapy for the treatment of swallowing disorders in patients with dysphagia after stroke.

METHODS

We performed a review of studies indexed in MEDLINE-PubMed, LILACS, Cochrane, and Clinical trials.gov focusing on speech-language interventions for adult dysphagic patients after stroke between January 2008 and January 2021.

RESULTS

Thirty-six articles of clinical trials were selected. Eleven different types of therapies have been studied. Studies on the efficacy of therapeutic interventions for the rehabilitation of adult patients with dysphagia after stroke are still scarce. Most techniques are combined with conventional therapy, so the effectiveness of the other techniques alone cannot be assessed.

CONCLUSIONS

Therapeutic interventions should be selected in accordance with the possibilities and limitations of the patients, and especially with the findings of the clinical evaluation and with its objective.

摘要

背景

吞咽困难的特征是在这个神经肌肉过程的任何阶段都出现吞咽模式困难。它是中风后的常见症状。

目的

本研究旨在调查最常用的语音语言干预措施作为治疗中风后吞咽障碍患者的疗法。

方法

我们对 2008 年 1 月至 2021 年 1 月期间在 MEDLINE-PubMed、LILACS、Cochrane 和 Clinical trials.gov 中索引的研究进行了综述,重点关注针对成人中风后吞咽困难患者的言语语言干预措施。

结果

选择了 36 篇临床试验文章。已经研究了 11 种不同类型的疗法。关于治疗干预对中风后成人吞咽障碍患者康复效果的研究仍然很少。大多数技术都与常规治疗相结合,因此无法评估其他技术单独的有效性。

结论

治疗干预应根据患者的可能性和局限性选择,特别是要根据临床评估的结果及其客观结果选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/192b/9651500/18057e9d9fdf/1678-4227-anp-80-01-084-gf01.jpg

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