摘要
目的:结合当前理论与实践研究进展,综述脑卒中后吞咽困难的康复治疗、药物治疗、外科手术等有效的治疗方法。资料来源:采用计算机检索MEDLINE1966/2005-10与脑卒中后吞咽困难的治疗相关的文章,主题词为“stroke/cerebrovascularaccident;dysphagia/deglutitiondisorders/swallowingdisorders;treatment/therapy/11therapeutics/rehabilitation”熏计算机检索中国学术期刊全文数据库(CNKI)1994/2005-10,中文科技期刊全文数据库(VIP)1989/2005-10相关文章,主题词为“脑卒中/脑血管疾病,吞咽困难,治疗,康复”,手工查阅与脑卒中后吞咽困难治疗相关的文献。资料选择:对资料进行初审,查看每篇文献后的引文。纳入标准:文章所述内容为脑卒中后吞咽困难的治疗方法。排除文献:重复研究、观察性研究、一般综述。对Meta分析和个案报道不作限制。资料提炼:共收集到英语文章108篇,中文33篇,排除重复研究文献60篇和内容陈旧的文献20篇,61篇用于综述,28篇纳入参考文献。资料综合:28篇文章中有7篇文章报道了当前脑卒中后吞咽困难治疗的现状和流行病学资料,有16篇报道了采用康复治疗的资料,5篇报道了采用其他治疗方法。结论:根据对吞咽困难的评价结果,明确治疗策略,通过康复训练,逐步改善患者的吞咽功能,药物治疗、外科手术、胃肠营养等对于吞咽困难患者的预后也很关键。但目前仍然缺乏大样本随机对照试验来验证哪种方法治疗吞咽困难最有效。
OBJECTIVE： To summarize rehabilitative therapy, drug treatment, surgical intervention and so on of dysphagia after stroke by combining present theory and research progress.
DATA SOURCES： A computer was used to search for the articles about the treatment of dysphgia after stroke from 1966 to October 2005 in MEDLINE by the key words of ＂stroke/cerebrovascular accident; dysphagia/deglutition disorders/swallowing disorders;treatment/therapy/ therapeutics/rehabilitation＂ and search China National Knowledge Infrastructure （CNKI） from 1994 to October 2005 and VlP between 1989 and October 2005 by the previous key words in Chinese, we also look up literatures about the treatment of acataposis after stroke by handiwork.
STUDY SELECTION： All the articles were primarily looked through, followed by looking over the citation in each article. The included articles were those related to the treatment of dysphagia after stroke. The excluded articles were those repetitive studies, observation studies and reviews. The Meta analysis and case report were not be excluded.
DATA EXTRACTION： A total of 108 English literatures and 33 Chinese literatures were collected. Totally 60 repetitive and 20 dated articles were excluded. Sixty-one articles were used in review, and 28 articles were referred.
DATA SYNTHESIS： Of the selected 28 articles, 7 were related to the epidemiology study of dysphagia after stroke, 16 were about rehabilitation and 5 referred to other treatment.
CONCLUSION： According the evaluation results of dysphgia, treatment strategy is identified. By rehabilitative training, the swallowing function of patients is improved gradually. The drug treatment, surgical treatment, nutrition of stomach intestine treatment and so on are also important for the prognosis in patients with dysphgia. But the randomized controlled trial of large sample, which can verify the most effective way of treating acataposis, is deficient at present.
出处
《中国临床康复》
CAS
CSCD
北大核心
2006年第20期118-120,共3页
Chinese Journal of Clinical Rehabilitation
