气管推移训练对颈椎前路手术后咽喉部并发症影响的Meta分析  

Meta-analysis of the effect of tracheal traction exercise on laryngopharyngeal complications after anterior cervical surgery

作　　者：高瑞 何丽 甘雪梅 代丽 GAO Rui;HE Li;GAN Xue-mei;DAI Li(Department of Orthopedics,Second Affiliated Hospital of Army Medical University,Chongqing 400037,China)

机构地区：[1]陆军军医大学第二附属医院骨科,重庆400037

出　　处：《局解手术学杂志》2020年第8期671-675,共5页Journal of Regional Anatomy and Operative Surgery

基　　金：重庆市基础与前沿研究计划项目(cstc2016jcyjA0408)。

摘　　要：目的系统评价气管推移训练对颈椎前路手术后咽喉部并发症的影响。方法计算机检索CBM、中国知网、万方、维普、Pub Med、Embase及Cochrane Library等数据库,查找报道颈前路手术后合并气管推移训练的全部文献,检索时间为2000年1月至2020年4月。由2位评价员按照纳入标准及排除标准分别筛选文献、提取数据、评估文献,采用Prism 8及SPSS 19.0软件进行分析。结果纳入18篇文献,共1 582例患者。结果分析表明,气管推移训练组和对照组患者例数组成(P=0.5156)、性别组成(P=0.299 0)、年龄组成(P=0.310 5)、文献质量评分(P=0.122 0)比较,差异均无统计学意义;2组患者术前进行气管推移训练对颈椎前路手术后咽喉部并发症发生率对比,差异无统计学意义(P=0.297 3);2组患者吞咽疼痛情况比较,差异有统计学意义(P=0.021 4);但吞咽困难、咽喉部异物感、声音嘶哑及饮水呛咳等比较,差异无统计学意义(P> 0.05)。结论术前进行气管推移训练能缓解颈椎前路手术后吞咽疼痛,但是对咽喉部并发症发生率、吞咽困难、咽喉部异物感、声音嘶哑及饮水呛咳无明显影响。Objective To systematically evaluate the effect of tracheal traction exercise on laryngopharyngeal complications after anterior cervical surgery. Methods All literatures reporting tracheal elusion training after anterior cervical surgery were searched from January 2000 to April 2020 in the databases of CBM,CNKI,Wanfang,VIP,Pub Med,Embase and Cochrane Library. Literature screened,data extracted,and literature evaluated were respectively performed by 2 evaluators according to inclusion criteria and exclusion criteria. Prism 8 and SPSS 19. 0 software were used for analysis. Results Eighteen articles were included,involving a total of 1 582 patients. There was no statistically significant difference between the two groups in terms of patient number composition( P = 0. 515 6),gender composition( P = 0. 299 0),age composition( P = 0. 310 5) and literature quality score( P = 0. 122 0). There was no statistically significant difference in the incidence of laryngopharyngeal complications after anterior cervical surgery between the two groups( P = 0. 297 3). Comparison of odynophagia between the two groups showed statistically significant difference( P = 0. 021 4). However,there was no statistically significant difference in dysphagia,pharyngeal paraesthesia,hoarseness,and bucking( P > 0. 05). Conclusion Tracheal traction exercise before operation can relieve odynophagia,but it has no obvious effect on the incidence of laryngopharyngeal complications,dysphagia,pharyngeal paraesthesia,hoarseness,and bucking after anterior cervical surgery.

关 键 词：颈椎前路手术 吞咽困难 气管推移训练 META分析 术后并发症 

分 类 号：R681.5[医药卫生—骨科学] R619.9[医药卫生—外科学]