经口进食期脑卒中后吞咽障碍的口咽肌肉力量训练的安全性和疗效：系统评价和荟萃分析方案。
Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis.
机构信息
Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Department of Physical Medicine and Rehabilitation, The Second Clinical College, China Medical University, Shenyang, Liaoning, China.
出版信息
BMJ Open. 2022 Jun 15;12(6):e061893. doi: 10.1136/bmjopen-2022-061893.
INTRODUCTION
Dysphagia is a common functional disorder after stroke. Most patients post-stroke are incapable of oral feeding, which often leads to complications such as malnutrition, aspiration pneumonia and dehydration that seriously affect the quality of life of patients. Oropharyngeal muscle strength training is a major method of swallowing training, and recent studies have focused on healthy adults, elderly persons, and patients with head and neck cancer or neurodegenerative diseases; but there have been few studies on such training in patients with post-stroke dysphagia. Our study aims to systematically review the safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding.
METHODS AND ANALYSIS
The Cochrane Library, Web of Science, PubMed, Embase and ClinicalTrials.gov databases will be systematically searched, and all relevant articles in English from the establishment of the databases to January 2022 will be reviewed. The study will be conducted in accordance with the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines. The primary outcome measures include the Penetration-Aspiration Scale and the Functional Oral Intake Scale. Two authors will independently screen the articles, extract the data and assess the study quality. Any disagreements during this process will be resolved by discussion or by consultation with a third author. Next, quantitative or qualitative, subgroup and sensitivity analyses of the included literature data will be performed as appropriate.
ETHICS AND DISSEMINATION
Ethical approval is not required for this systematic review as no primary data collection will be required. The results of the present study will be published in a peer-reviewed journal in the field of deglutition disorders.
PROSPERO REGISTRATION NUMBER
CRD42022302471.
简介
吞咽障碍是中风后的常见功能障碍。大多数中风后患者无法经口进食，这往往会导致营养不良、吸入性肺炎和脱水等并发症，严重影响患者的生活质量。口咽肌肉力量训练是吞咽训练的主要方法，最近的研究集中在健康成年人、老年人以及头颈部癌症或神经退行性疾病患者；但对于中风后吞咽障碍患者的这种训练研究较少。我们的研究旨在系统评价口咽肌肉力量训练在经口喂养治疗中风后吞咽障碍中的安全性和效果。
方法和分析
将系统检索 Cochrane 图书馆、Web of Science、PubMed、Embase 和 ClinicalTrials.gov 数据库，并对从数据库建立到 2022 年 1 月发表的所有相关英文文章进行综述。该研究将按照《干预措施系统评价 Cochrane 手册》的建议进行，并按照《系统评价和荟萃分析首选报告项目》的指南进行报告。主要结局测量指标包括渗透-吸入量表和功能性口腔摄入量表。两名作者将独立筛选文章、提取数据并评估研究质量。如果在这个过程中存在分歧，将通过讨论或咨询第三位作者来解决。接下来，将根据需要对纳入文献数据进行定量或定性、亚组和敏感性分析。
伦理和传播
由于不需要收集原始数据，因此本次系统评价不需要伦理批准。本研究的结果将发表在吞咽障碍领域的同行评议期刊上。
PROSPERO 注册号：CRD42022302471。
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