WONCA研究论文摘要汇编——夜间腿部痛性痉挛的诊断标准:系统性综述

发布时间：2018-05-01 11:29

本文选题：痛性痉挛 + WONCA　；参考：《中国全科医学》2017年10期

【摘要】：背景 50岁以上的普通人群中,高达33%受夜间腿部痛性痉挛所累。目前并没有普遍接受的可以识别夜间腿部痛性痉挛的临床特征。本研究旨在识别这些临床特征,并对其和不宁腿综合征及周期性肢体疾病的特点进行区分。方法 2015年12月—2016年5月进行系统文献研究,包括随机临床试验的系统文献综述,关于腿部和其他肌肉的夜间及静息痉挛的观察性研究,以及其他系统性和叙述性综述。采用标准化评审方案,由2名研究人员独立提取文献数据并进行分析。采用改良版Cochrane协作工具进行偏差风险的评估。采用德尔菲法评估夜间腿部痛性痉挛特征的一致性。结果系统检索和手动检索之后,纳入8个随机对照试验和10个观察性研究。基于这些研究,本研究识别出夜间腿部痛性痉挛的7个诊断特征:剧烈疼痛、持续时间从几秒到最多10 min、痉挛出现在小腿或脚部、痉挛很少出现在大腿或腿筋、持续的后续疼痛、睡眠中断、痛苦。结论以上7个特征将提高对病情的认识,并帮助临床医生清楚地区分老年人夜间腿部痛性痉挛和其他睡眠相关的肌肉骨骼疾病。
[Abstract]:Background up to 33% of the general population over 50 years old suffer from nocturnal leg pain spasms. There is no widely accepted clinical feature that identifies nocturnal leg pain spasms. The aim of this study was to identify these clinical features and distinguish them from restless leg syndrome and periodic limb disease. Methods A systematic literature review was conducted from December 2015 to May 2016, including a systematic literature review of randomized clinical trials, an observational study on nocturnal and resting spasms of legs and other muscles, and other systematic and narrative reviews. Two researchers independently extracted and analyzed the literature data using a standardized review scheme. Use an improved version of the Cochrane collaboration tool to assess the risk of deviation. Delphi method was used to assess the consistency of the characteristics of nocturnal leg pain spasm. Results after systematic and manual retrieval, 8 randomized controlled trials and 10 observational studies were included. Based on these studies, this study identified seven diagnostic features for nocturnal leg pain spasms: severe pain, lasting from a few seconds to a maximum of 10 minutes, spasms occurring in the lower leg or foot, and spasms rarely in the thigh or hamstring. Continuous follow-up pain, sleep interruption, pain. Conclusion the above seven features will help clinicians to distinguish the nocturnal leg pain spasm from other sleep related musculoskeletal diseases.
【分类号】：R68

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