Volume 22 Issue 11
Nov.  2024
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WU Liyan, CUI Yanyin, ZHANG Yujie, LEI Shanyan, YANG Fang. Systematic analysis of the effect of intensive breathing training on the application of rehabilitation for patients with post-stroke dysphagia[J]. Chinese Journal of General Practice, 2024, 22(11): 1967-1970. doi: 10.16766/j.cnki.issn.1674-4152.003776
Citation: WU Liyan, CUI Yanyin, ZHANG Yujie, LEI Shanyan, YANG Fang. Systematic analysis of the effect of intensive breathing training on the application of rehabilitation for patients with post-stroke dysphagia[J]. Chinese Journal of General Practice, 2024, 22(11): 1967-1970. doi: 10.16766/j.cnki.issn.1674-4152.003776

Systematic analysis of the effect of intensive breathing training on the application of rehabilitation for patients with post-stroke dysphagia

doi: 10.16766/j.cnki.issn.1674-4152.003776
Funds:

 GZY-ZJ-KJ-23062

 LTGY23H270005

 71874157

 2024JDYB09

  • Received Date: 2024-01-09
    Available Online: 2024-12-31
  •   Objective  To systematically evaluate the effect of intensive respiratory training on the rehabilitation application of dysphagia after stroke.  Methods  The controlled studies of intensive breathing training on rehabilitation of swallowing disorder after stroke from PubMed, Embase, Cochrane Library, Web of Science, China Biomedical Literature Service System, CNKI, Vip, and Wanfang were searched by computer from the establishment of the database to June 2023. The quality of the included studies was evaluated according to the Cochrane system and Ottawa Scale, and the meta-analysis of outcome indicators was performed using RevMan5.4.  Results  Thirteen papers were included in the literature, including 12 randomized controlled studies and one retrospective controlled study with a total of 708 patients. Meta-analysis showed that the difference in PEF between the training group and the control group was not statistically significant (P>0.05). In terms of kubota drinking water test (KDWT), functional oral intake scale (FOIS), forced vital capacity (FVC), and penetration-aspiration scale (PAS), The incidence of aspiration pneumonia was statistically significant (P < 0.05). Subgroup analyses showed heterogeneity in swallowing rehabilitation outcomes in terms of intervention modality (P=0.030) and treatment duration (P=0.060), and heterogeneity in pulmonary function rehabilitation outcomes in terms of intervention modality (P=0.090).  Conclusion  Available evidence suggests that intensive respiratory training can promote the recovery of swallowing function and effectively reduce the incidence of aspiration pneumonia in patients with post-stroke dysphagia.

     

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