文章摘要
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
投稿时间：2023-04-28  修订日期：2023-04-28
DOI：
中文关键词: 肌内效贴  卒中  吞咽功能  Meta分析
英文关键词: Kinesio Taping  Stroke  Swallowing Function  Meta-Analysis
基金项目:国家自然科学基金面上项目（81871849）
作者单位邮编
阚宏俊 中山大学附属第三医院 510000
吉欣欣 广州医科大学附属第五医院 
梁丽丝 中山大学附属第三医院 
赵嘉欣 中山大学附属第三医院 
邓宝梅 中山大学附属第三医院 
陈曦 中山大学附属第三医院 510000
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中文摘要:
      目的 通过Meta分析，系统评价肌内效贴(Kinesio Taping,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。
英文摘要:
      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 literature retrieved, the included literature was screening, data extraction, quality evaluation and risk assessment. The results of meta-analysis were conducted by Stata12.0 software. 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 Evidence ranged from low to very-low quality shows that clinical use of kinesio taping on the basis of conventional rehabilitation can improve the swallowing function and quality of life in stroke patients with superior clinical efficacy.
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