妊娠期孕妇下肢痉挛管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2022.18.016

摘要/Abstract

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。

关键词: 妊娠, 下肢痉挛, 妊娠期并发症, 循证护理学

Abstract:

Objective To search and obtain relevant evidence of leg cramps management in pregnant women,and to provide the evidence for clinical practice. Methods We systematically searched relevant guidelines websites,professional associations websites,as well as Cochrane Library,PubMed,Embase,CNKI,CBM and other databases for all evidence on management of leg cramps during pregnancy,including guidelines,clinical decision-making,evidence summaries,system reviews,expert consensuses,randomized controlled trials from the inception of databases to December 2021. The literature was evaluated and rated for quality by 2 researchers independently. Results Totally,13 articles were enrolled,including 1 guideline,4 clinical decisions,5 systematic reviews and 3 randomized controlled trials. A total of 24 pieces of evidence were summarized,including evaluation and diagnosis,risk factors,basic treatment principles,acute treatment,non-drug intervention and drug intervention. Conclusion This study summarized and formed the management plan of leg cramps in pregnant women,including its assessment and diagnostic points,risk factor management,interventions,etc. Evidence translation should be combined with clinical context and pregnant women’s willingness to select the best evidence to reduce the incidence of leg cramps in pregnant women and improve the quality of life during pregnancy.

Key words: Pregnancy, Leg Cramps, Pregnancy Complications, Evidence-Based Nursing

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.

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