目的：系统评价多种干预措施对帕金森病患者吞咽功能的改善效果。方法：检索 CNKI、Wanfang、 VIP、CBM、PubMed、Medline和Web of science数据库，搜集关于不同治疗方法治疗帕金森病患者吞咽障碍 的RCTs，时段为建库至2024年3月15日。利用RevMan 5.4.1软件评估纳入研究的质量，Stata 17.0软件进 行网状Meta分析。结果：纳入研究29篇，1 870例患者，涉及针刺、电刺激、呼吸训练等13种治疗方法。网状 Meta分析结果显示，在提高帕金森病临床有效率及PAS方面，训练效果最好的是呼吸训练；提高SSA、洼田 饮水评分方面，重复经颅磁刺激与电刺激效果最好。结论：现有证据表明，呼吸训练成为治疗帕金森病吞咽 障碍最佳干预方案的可能性最大，重复经颅磁刺激与电刺激也具有一定优势。

To systematically evaluate the effect of various interventions on the improvement of swallowing function in patients with Parkinson's disease. Methods: CNKI, Wanfang, VIP, CBM, PubMed, Medline and Web of science databases were searched to collect RCTs on different treatment methods for dysphagia in Parkinson's patients from inception to March 15, 2024. RevMan 5.4.1 software was used to evaluate the quality of the included studies, and Stata 17.0 software was used for network meta-analysis. Results: A total of 29 studies involving 1 870 patients were included, involving 13 treatment methods such as acupuncture, electrical stimulation, and respiratory training. The results of network meta-analysis showed that the best training effect was respiratory training in improving the clinical efficiency and PAS of Parkinson's disease. In terms of improving SSA and Kubota drinking water scores, repetitive transcranial magnetic stimulation and electrical stimulation have the best effect. Conclusion: The existing evidence shows that respiratory training is the most likely to be the best intervention for Parkinson's dysphagia. Repetitive transcranial magnetic stimulation and electrical stimulation also have certain advantages.