听神经瘤患者围手术期前庭康复训练的循证研究  

An Evidence-Based Assessment of Perioperative Vestibular Rehabilitation Training in Patients with Acoustic Neuroma

作　　者：王淼 官春燕 李菲 黄婷[1] 程思 范纤惠 李晶[1] 易伶俐 刘波 WANG Miao;GUAN Chunyan;LI Fei;HUANG Ting;CHENG Si;FAN Xianhui;LI Jing;YI Lingli;LIU Bo(Department of Otolaryngology Head and Neck Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhuan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科,武汉430022

出　　处：《中华耳科学杂志》2024年第1期4-8,共5页Chinese Journal of Otology

基　　金：湖北省自然科学基金(2016CFB645);华中科技大学同济医学院附属协和医院“药技护”课题(2019xhyn031,2023XHYN068)。

摘　　要：目的检索、评价和汇总听神经瘤患者围手术期行前庭康复训练的相关证据。方法通过循证问题确立、系统文献检索、文献筛选、文献质量评价、证据总结及等级评定等步骤提出实践建议。结果共纳入8篇文献,包括指南2篇、系统评价2篇、随机对照研究3篇、类实验研究1篇,筛选出17条证据,分为影响因素、康复原则、干预时机及方法、效果评估等4个方面。结论本研究科学严谨,所得证据能较好地为听神经瘤患者围手术期行前庭康复提供依据。实践时需早期识别影响因素、制定个性化康复方案、选择合适的评估工具。此外,康复训练的剂量、时机及效果评估需开展更多高质量研究。Objective To collect and summarize the evidence regarding perioperative vestibular rehabilitation training in patients with acoustic neuroma.Methods Following establishing the questions,existing literatures were searched,screened,evaluated for their quality including evidence grades,and summarized to produce practice recommendations.Results A total of 8 reports were included,including 2 guidelines,2 systematic reviews,3 randomized controlled trials,and 1 quasi-experimental study.Evaluation of the literatures yielded 17 pieces of evidence in 4 categories,including influencing factors,fundamental principles,time and methods of intervention,and outcome assessment.Conclusion With its scientific and rigorous approach,this summary provides a guidance for perioperative vestibular rehabilitation of patients with acoustic neuroma.Keys to successful management include early identification of influencing factors,personalized rehabilitation programs and appropriate assessment tools.Additional high-quality studies are needed determine ideal dosage,timing and outcome assessemnt of rehabilitation training.

关 键 词：听神经瘤 围手术期 前庭康复 患者 循证医学 

分 类 号：R739.41[医药卫生—肿瘤]