中华护理杂志 ›› 2022, Vol. 57 ›› Issue (18): 2276-2282.DOI: 10.3761/j.issn.0254-1769.2022.18.016
收稿日期:
2022-01-11
出版日期:
2022-09-20
发布日期:
2022-09-07
通讯作者:
翟巾帼,E-mail: cde2004@126.com作者简介:
庄云婷,女,本科,E-mail: 1987165466@qq.com
基金资助:
ZHUANG Yunting(), ZHAI Jinguo(), ZHANG Li, LIU Yijun, WANG Xueyan
Received:
2022-01-11
Online:
2022-09-20
Published:
2022-09-07
摘要:
目的 检索并获取妊娠期孕妇下肢痉挛管理的相关证据,为临床实践提供参考。 方法 系统检索国内外相关指南网站、专业协会网站以及Cochrane Library、PubMed、Embase、中国知网、中国生物医学文献数据库等数据库中关于妊娠期孕妇下肢痉挛管理的指南、临床决策、证据总结、系统评价、专家共识和随机对照试验,检索时限为建库至2021年12月。由2名研究人员独立对文献进行质量评价并结合专家意见对证据推荐级别进行评定。 结果 共纳入13篇文献,包括1篇指南、4篇临床决策、5篇系统评价及3篇随机对照试验,总结出24条关于妊娠期孕妇下肢痉挛管理的最佳证据,包括评估与诊断、风险因素、基本处理原则、急性处理、非药物干预和药物干预6个方面。 结论 该研究总结、形成了妊娠期孕妇下肢痉挛的管理方案,包括评估与诊断要点、风险因素管理、干预措施等。证据转化时应结合临床环境、孕妇意愿,有针对性地选择最佳证据,降低妊娠期孕妇下肢痉挛发生率、提高孕期生活质量。
庄云婷, 翟巾帼, 张莉, 刘益君, 王雪岩. 妊娠期孕妇下肢痉挛管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(18): 2276-2282.
ZHUANG Yunting, ZHAI Jinguo, ZHANG Li, LIU Yijun, WANG Xueyan. Best evidence summary for management of leg cramps during pregnancy in pregnant women[J]. Chinese Journal of Nursing, 2022, 57(18): 2276-2282.
[1] | Allen RE, Kirby KA. Nocturnal leg cramps[J]. Am Fam Physician, 2012, 86(4):350-355. |
[2] |
Miller TM, Layzer RB. Muscle cramps[J]. Muscle Nerve, 2005, 32(4):431-442.
DOI URL |
[3] | Salih A. Leg cramps:the underlying causes and available treatments[J]. Prescriber, 2007, 18(17):31-33. |
[4] |
Mohamad SNS, Ahmad S, Tohid H. Leg cramps,its associated factors and quality of life among pregnant mothers:a cross-sectional study in a Malaysian suburban health clinic[J]. Ijrps, 2020, 11(SPL4):1600-1608.
DOI URL |
[5] | Zhou KY, West HM, Zhang J, et al. Interventions for leg cramps in pregnancy[J]. Cochrane Database Syst Rev, 2015(8):CD01-0655. |
[6] | Nyange C. Common discomforts of pregnancy:leg cramps[J]. Int J Childb Educ, 2017, 32(1):25-26. |
[7] |
Warland J, Dorrian J, Morrison JL, et al. Maternal sleep during pregnancy and poor fetal outcomes:a scoping review of the literature with meta-analysis[J]. Sleep Med Rev, 2018, 41:197-219.
DOI PMID |
[8] |
Oyiengo D, Louis M, Hott B, et al. Sleep disorders in pregnancy[J]. Clin Chest Med, 2014, 35(3):571-587.
DOI PMID |
[9] |
Grandner MA, Winkelman JW. Nocturnal leg cramps:prevalence and associations with demographics,sleep disturbance symptoms,medical conditions,and cardiometabolic risk factors[J]. PLoS One, 2017, 12(6):e0178465.
DOI URL |
[10] | 李晶, 高尚谦, 邓俊, 等. 循证转化护理专业组的建立及实践[J]. 中华护理杂志, 2017, 52(12):1505-1508. |
Li J, Gao SQ, Deng J, et al. Establishment and practice of evidence-based knowledge translation professional group in general hospitals[J]. Chin J Nurs, 2017, 52(12):1505-1508. | |
[11] |
Dicenso A, Bayley L, Haynes RB. Accessing pre-appraised evidence:fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs, 2009, 12(4):99-101.
DOI PMID |
[12] | 韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREEⅡ)工具实例解读[J]. 中国循证儿科杂志, 2013, 8(4):316-319. |
Wei D, Wang CY, Xiao XJ, et al. Example interpretation of guide research and evaluation(agree Ⅱ) tool[J]. Chin J Evid Based Pediatr, 2013, 8(4):316-319. | |
[13] |
Shea BJ, Hamel C, Wells GA, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews[J]. J Clin Epidemiol, 2009, 62(10):1013-1020.
DOI URL |
[14] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018:56-93. |
Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018:56-93. | |
[15] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 edition)[J]. J Nurses Train, 2015, 30(11):964-967. | |
[16] |
Mottola MF, Davenport MH, Ruchat SM, et al. 2019 Canadian guideline for physical activity throughout pregnancy[J]. Br J Sports Med,2018, 52(21):1339-1346.
DOI URL |
[17] | Bonnie L, Bermas M. Maternal adaptations to pregnancy:musculoskeletal changes and pain[EB/OL].(2021-12-21)[2021-12-25].https://www.uptodate.cn/contents/maternal-adaptations-to-pregna-ncy-mu-sculoskeletal-changes-and-pain?search=Maternal%20a-da-ptations%20to%20pregnancy:%20Musculoskeletal%20chan-ges%20and%20pain.%20&source=search_result&selectedTitle=1-150&display_rank=1. |
[18] | John W, Winkelman MP. Nocturnal leg cramps[EB/OL].(2021-12-16)[2021-12-25]. . |
[19] |
Hensley JG. Leg cramps and restless legs syndrome during pregnancy[J]. J Midwifery Womens Health, 2009, 54(3):211-218.
DOI URL |
[20] | Tipton PW, Wszołek ZK. Restless legs syndrome and nocturnal leg cramps:a review and guide to diagnosis and treatment[J]. Pol Arch Intern Med, 2017, 127(12):865-872. |
[21] | Luo L, Zhou KY, Zhang J, et al. Interventions for leg cramps in pregnancy[J]. Cochrane Database Syst Rev, 2020, 12(12):CD010655. |
[22] | Young G. Leg cramps[J]. BMJ Clin Evid, 2015, 2015:1113. |
[23] |
Liu J, Song G, Zhao G, et al. Effect of oral magnesium supplementation for relieving leg cramps during pregnancy:a meta-analysis of randomized controlled trials[J]. Taiwan J Obstet Gynecol, 2021, 60(4):609-614.
DOI URL |
[24] | Buppasiri P, Lumbiganon P, Thinkhamrop J, et al. Calcium sup-plementation(other than for preventing or treating hypertension) for improving pregnancy and infant outcomes[J]. Co-chrane Database Syst Rev, 2015(2):CD007079. |
[25] | Hawke F, Sadler SG, Katzberg HD, et al. Non-drug therapies for the secondary prevention of lower limb muscle cramps[J]. Cochrane Database Syst Rev, 2021, 5(5):CD008496. |
[26] |
Behringer M, Moser M, McCourt M, et al. A promising approach to effectively reduce cramp susceptibility in human muscles:a randomized,controlled clinical trial[J]. PLoS One, 2014, 9(4):e94910.
DOI URL |
[27] | Nabil Ramadan E, Abdelhaliem Said S, Ahmed Zahra N, et al. Lifestyle intervention for reducing leg cramps among pregnant women[J]. Am J Nurs Res, 2019, 7(3):228-237. |
[28] |
Mansouri A, Mirghafourvand M, Charandabi SMA, et al. The effect of Vitamin D and calcium plus Vitamin D on leg cramps in pregnant women:a randomized controlled trial[J]. J Res Med Sci, 2017, 22:24.
DOI PMID |
[29] | Kadıoğlu N, Sert UY, Sariaslan SG, et al. Sleep disorders in pre-gnancy,influencing factors and quality of life[J]. Z Geburtshi-lfe Neonatol, 2022, 226(1):34-40. |
[30] | Westchester. Sleep related leg cramps-diagnostic and coding manual[J]. Med AAOS, 2005(2):678-683. |
[31] | Evik SA, Karaduman S. The effect of sacral massage on labor pain and anxiety:a randomized controlled trial[J]. Jpn J Nurs Sci, 2020, 17(1):e12272. |
[32] |
Maughan RJ, Shirreffs SM. Muscle cramping during exercise:causes,solutions,and questions remaining[J]. Sports Med, 2019, 49(Suppl 2):115-124.
DOI PMID |
[33] |
Hawke F, Chuter V, Burns J. Impact of nocturnal calf cramping on quality of sleep and health-related quality of life[J]. Qual Life Res, 2013, 22(6):1281-1286.
DOI URL |
[34] |
冯雅慧, 吕嬿, 马帅, 等. 孕早期妇女体力活动现状及影响因素分析[J]. 中华护理杂志, 2019, 54(8):1184-1188.
DOI |
Feng YH, Lü Y, Ma S, et al. The status and influencing factors of physical activity among early pregnancy women[J]. Chin J Nurs, 2019, 54(8):1184-1188. | |
[35] |
Daniell HW, Pentrack J. Improved calf stretch for nocturnal cramp prevention[J]. JAMA Intern Med, 2013, 173(10):934-935.
DOI PMID |
[36] |
Katzberg HD, Khan AH, So YT. Assessment:symptomatic treatment for muscle cramps(an evidence-based review):report of the therapeutics and technology assessment subcommittee of the American academy of neurology[J]. Neurology, 2010, 74(8):691-696.
DOI PMID |
[37] |
Wydall S, Nguyen-Lu N, Cheesman K. Unusual leg pain in pregnancy:a case report of acute compartment syndrome[J]. Int J Obstet Anesth, 2021, 46:103141.
DOI URL |
[38] | Beyaz EA, Zcan E, Ketenci A, et al. The effectiveness of pre-gnancy rehabilitation:effects on low back pain and calf cramps during pregnancy and pregnancy outcome[J]. Nobel Med, 2011, 7(2):67-74. |
[39] |
Bahk JW, Kim H, Jung-Choi K, et al. Relationship between pro-longed standing and symptoms of varicose veins and nocturnal leg cramps among women and men[J]. Ergonomics, 2012, 55(2):133-139.
DOI URL |
[40] | Uvnäs-Moberg K, Handlin L, Petersson M. Self-soothing beha-viors with particular reference to oxytocin release induced by non-noxious sensory stimulation[J]. Front Psychol, 2015, 5:1529. |
[41] |
Pachtman Shetty SL, Fogarty S. Massage during pregnancy and postpartum[J]. Clin Obstet Gynecol, 2021, 64(3):648-660.
DOI PMID |
[42] |
Hallegraeff J, de Greef M. Pilot testing a stretching regimen for prevention of night time nocturnal leg cramps[J]. Geriatr Nurs, 2020, 41(2):105-109.
DOI PMID |
[43] | Höbek Akarsu R, Kocak DY, Akarsu GD. Experiences of pre-gnant women participating in antenatal yoga:a qualitative study[J]. Altern Ther Health Med, 2022, 28(4):18-23. |
[44] | 王国妃, 王曙红, 姜萍岚, 等. 瑜伽运动对乳腺癌患者化疗期生存质量的影响[J]. 中华护理杂志, 2015, 50(8):937-941. |
Wang GF, Wang SH, Jiang PL, et al. Effect of yoga on quality of life in breast cancer patients with chemotherapy[J]. Chin J Nurs, 2015, 50(8):937-941. | |
[45] |
Supakatisant C, Phupong V. Oral magnesium for relief in pre-gnancy-induced leg cramps:a randomised controlled trial[J]. Matern Child Nutr, 2015, 11(2):139-145.
DOI PMID |
[46] |
Araújo CAL, Lorena SB, Cavalcanti GCS, et al. Oral magnesium supplementation for leg cramps in pregnancy-an observational controlled trial[J]. PLoS One, 2020, 15(1):e0227497.
DOI URL |
[47] |
Sohrabvand F, Shariat M, Haghollahi F. Vitamin B supplemen-tation for leg cramps during pregnancy[J]. Int J Gynaecol Obstet, 2006, 95(1):48-49.
DOI URL |
[48] |
Avşar AF, Ozmen S, Söylemez F. Vitamin B1 and B6 substitu-tion in pregnancy for leg cramps[J]. Am J Obstet Gynecol, 1996, 175(1):233-234.
PMID |
[49] | Mokhtari M, Yaghmaee M, Mohammadi M. The comparison of therapeutic effect of vitamine on leg cramps during pregnancy[J]. Med J Reproduct Infer, 2002(5):42-46. |
[1] | 胡丽莎, 彭红华, 米元元, 曹咪, 胡敏, 祝玲, 喻红君, 彭淑华. 肿瘤靶向治疗患者皮肤不良反应预防及管理的证据总结[J]. 中华护理杂志, 2022, 57(9): 1061-1069. |
[2] | 孙倩倩, 叶红芳, 杨莉. 接纳与承诺疗法对乳腺癌患者干预效果的Meta分析[J]. 中华护理杂志, 2022, 57(9): 1070-1078. |
[3] | 张晓梅, 秦毅, 陈瑜, 王伶俐, 李静逸, 王娅. 经中心静脉通路装置采血的最佳证据总结[J]. 中华护理杂志, 2022, 57(9): 1134-1140. |
[4] | 任宣霖, 樊落, 田金徽, 朱伟, 郝雅茹. ICU气管插管患者拔管指南的质量评价与内容分析[J]. 中华护理杂志, 2022, 57(8): 1001-1007. |
[5] | 古钰君, 张国增, 冯宪凌, 白杨, 岳岚, 王梦. 癌症患者化疗所致脱发心理体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(7): 872-879. |
[6] | 穆文方, 王娴, 肖星婷, 王燕, 许志玮. 下肢静脉溃疡患者自我管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(6): 740-747. |
[7] | 毛越, 徐剑锋, 李梅, 朱蓓蓓, 杨丹燕, 莫权峰, 何杰. 经导管主动脉瓣置换术患者Ⅰ期心脏康复的最佳证据应用[J]. 中华护理杂志, 2022, 57(5): 563-568. |
[8] | 黄娜, 周英凤, 李丽, 朱佳蕾, 汪玲, 赵敏慧. 妊娠期糖尿病孕妇血糖管理行为改变动机的质性研究[J]. 中华护理杂志, 2022, 57(4): 389-394. |
[9] | 孙闽闽, 吴娟, 李文霞, 王逸楠, 王莉. 心肌梗死患者出院后重返社会体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(4): 415-423. |
[10] | 林楠, 诸纪华, 徐红贞, 周红琴. 早产儿体位管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(4): 486-492. |
[11] | 包磊, 朱丽群, 唐为定, 陈吉祥, 周英凤, 韩小云, 舒芳芳, 曹松梅, 庄若, 殷婷. 非药物管理对成人择期手术术前焦虑影响的系统评价再评价[J]. 中华护理杂志, 2022, 57(4): 493-501. |
[12] | 高洪莲, 王春美, 王晓敏, 许丽娜, 王瑞知, 李书彦, 李滕, 李兴国. 非药物干预促进胃肠道恶性肿瘤患者术后功能恢复的最佳证据总结[J]. 中华护理杂志, 2022, 57(2): 215-222. |
[13] | 韦小夏, 符鑫, 沈傲梅, 王玉洁, 张力川, 路潜. 乳腺癌患者淋巴水肿自我管理的证据总结[J]. 中华护理杂志, 2022, 57(2): 237-244. |
[14] | 苗莹莹, 徐晖, 赵燕利, 赵伟. 康复期精神分裂症患者疾病体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(18): 2198-2204. |
[15] | 余姜璇, 单雪琪, 王俊杰, 许娅文, 沈睿. 老年肌少症患者营养管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(18): 2261-2267. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||