肌内效贴对卒中后患者吞咽功能影响的Meta分析  

Effects of Kinesio Taping on Swallowing Function of Patients with Stroke:a Meta-analysis

作　　者：阚宏俊 吉欣欣 梁丽丝 赵嘉欣 邓宝梅 陈曦[1] KAN Hongjun;JI Xinxin;LIANG Lisi;ZHAO Jiaxin;DENG Baomei;CHEN Xi(Department of Rehabilitation,The Third Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院康复科,广州510630

出　　处：《神经损伤与功能重建》2024年第12期706-710,719,共6页Neural Injury and Functional Reconstruction

基　　金：国家自然科学基金项目(No.81871849)。

摘　　要：目的:通过Meta分析,系统评价肌内效贴(KT)对卒中后患者吞咽功能的影响。方法:计算机检索自1973年起至2021年12月的中、英文文献,英文数据库包括:The Cochrane Library、Wiley、Web of Science、Embase、MEDLINE,中文数据库包括:中国知网(CNKI)、维普数据库、万方数据库。检索出符合标准的研究后,筛选纳入文献,并进行资料提取,质量评价和风险评估,采用Stata12.0软件进行统计分析。结果:纳入9项研究,共560例患者。Meta分析结果显示,肌内效贴在常规康复治疗基础上,可提高脑卒中后吞咽功能障碍患者的痊愈率[RR=2.27,95%CI(1.57,3.3),P<0.001],并且有助于改善患者的吞咽功能[SMD=1.05,95%CI(0.61,1.49),P<0.001],提高吞咽障碍患者的生活质量[SMD=1.2,95%CI(0.85,1.55),P<0.001]。结论:极低至低证据等级显示在常规康复治疗基础上使用肌内效贴,有助于改善卒中后患者的吞咽功能及生活质量,具有更好的临床疗效。Objective:To systematically evaluated the clinical efficacy of kinesio taping on swallowing function of patients with stroke.Methods:A computerized search was performed to identify the literature in English or Chinese published from 1973 to December 2021.The English databases included the Cochrane Library,Wiley,Web of Science,Embase,MEDLINE.The Chinese databases included CNKI,Chongqing VIP and Wanfang Data.After retrieving the studies that meet the criteria,we screened and included the literature,extracted data,evaluated quality,and assessed risks.The results of meta-analysis were conducted by Stata12.0software.Results:A total of 9 studies(560 patients)were included.The results of meta-analysis showed that based on conventional rehabilitation program,kinesio taping led to superior increasement to stroke patients with dysphagia in cure rate[RR=2.27,95%CI(1.57,3.3),P<0.001],and helped to improve swallowing function[SMD=1.05,95%CI(0.61,1.49),P<0.001]and quality of life[SMD=1.2,95%CI(0.85,1.55),P<0.001]in stroke patients with dysphagia.Conclusion:Very low to low level evidence suggests that the use of kinesio tape on the basis of conventional rehabilitation therapy can improve swallowing function and quality of life in patients after stroke,with better clinical efficacy.

关 键 词：肌内效贴 卒中 吞咽功能 META分析 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学] R743R493