脊髓损伤患者呼吸肌训练的最佳证据总结  

Respiratory muscle training for patients after spinal cord injury:a summary of best evidence

作　　者：胡蓉 王春艳 陈佳丽[2] 张亚清 马燕飞 宁宁[2] 李叶萍 Hu Rong;Wang Chunyan;Chen Jiali;Zhang Yaqing;Ma Yanfei;Ning Ning;Li Yeping(Department of Orthopaedics,Mianyang Central Hospital,School of Medicine University of Electronic Science and Technology of China,Mianyang 621000 Sichuan Province,China;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China;School of Nursing,Sichuan University,Chengdu 610041,Sichuan Province,China.)

机构地区：[1]电子科技大学医学院附属绵阳医院,绵阳市中心医院骨科,四川绵阳621000 [2]四川大学华西医院骨科,四川成都610041 [3]四川大学华西护理学院,四川成都610041

出　　处：《现代临床护理》2025年第3期62-68,共7页Modern Clinical Nursing

基　　金：国家重点研发计划项目,项目编号为2023YFC3603905。

摘　　要：目的 总结脊髓损伤患者呼吸训练的最佳证据,为临床实践提供参考。方法 根据“6S”证据金字塔模型,检索UpToDate,BMJ Best practice,乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心数据库,英国国家卫生与临床优化研究所指南网(National Institute for Health and Clinical Excellence,NICE),美国国立指南网(National Guideline Clearinghouse,NGC),加拿大安大略注册护士协会网站(Registered Nurses’ Association of Ontario,RNAO),医脉通,美国脊髓损伤协会(American Spinal Injury Association,ASIA),物理治疗证据数据库(Physiotherapy Evidence Database,PEDro),Cochrane library,PubMed,Web of Science,CNKI,Wangfang Database,SinoMed,中华医学会期刊网站中关于脊髓损伤患者呼吸训练的文献,包括临床决策、实践指南、专家共识、证据总结、系统评价/Meta分析、原始研究。检索时限为建库至2023年12月30日。两名经过循证护理系统培训的研究者对文献进行质量评价和证据汇总。结果 最终纳入15篇文献,包括临床决策3篇,指南3篇,系统评价6篇,随机对照试验3篇。总结出包括训练前评估、训练内容、训练设备、训练强度及训练频率、效果评估5方面21条最佳证据。结论 本研究总结的脊髓损伤患者呼吸训练最佳证据,可为医护人员制定规范化呼吸训练策略提供循证依据。Objective To systematically retrieve,assess and synthesise regarding the respiratory training for patients with spinal cord injury and to provide a reference for clinical practice.Methods According to the 6S Evidence Pyramid Model,following databases were searched for literature in relation to the respiratory training for patients with spinal cord injury:UpToDate,BMJ Best Practice,Joanna Briggs Institute Database of Systematic Reviews and Implementations,National Institute for Health and Clinical Excellence(NICE),National Guideline Clearinghouse(NGC),Registered Nurses’Association of Ontario(RNAO),Medlive,American Spinal Injury Association(ASIA),Physiotherapy Evidence Database(PEDro),The Cochrane Library,PubMed,Web of Science,CNKI,Wanfang Data,SinoMed and the websites of the Journals published by Chinese Medical Association.The types of literature included clinical decisions,practice guidelines,expert consensus,evidence summaries,systematic reviews/Meta-analyses,and original researches.The search period was from the inception of databases to 30th December,2023.Two researchers independently evaluated the quality of the literature and summarised the evidences.Results Fifteen studies were ultimately included,comprising 3 clinical decisions,3 guidelines,6 systematic reviews and 3 randomised controlled trials.A total of 21 best pieces of evidence were summarised,covering 5 aspects:pre-training assessment,training content,training equipment,training intensity and frequency,and effectiveness evaluation.Conclusion The best evidence of respiratory training for patients with spinal cord injury summarised in this study can provide the evidence-based support for healthcare professionals to formulate standardised respiratory training strategies.

关 键 词：脊髓损伤 呼吸肌 训练 康复 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]