Supakatisant Chayanis, Phupong Vorapong
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand.
Matern Child Nutr. 2015 Apr;11(2):139-45. doi: 10.1111/j.1740-8709.2012.00440.x. Epub 2012 Aug 22.
Leg cramps are common in pregnant women. Currently, there is no standard treatment for pregnancy-induced leg cramps. The objective of this study was to evaluate the therapeutic efficacy of oral magnesium in pregnant women with leg cramps. This double-blinded, randomised, placebo-controlled trial included 86 healthy pregnant women, 14-34 weeks of gestation who had leg cramps at least twice per week. The study period was 4 weeks. Eighty women completed the study. Forty-one women were assigned to magnesium bisglycinate chelate (300 mg per day) and 39 women to placebo. Details of leg cramps were recorded before beginning the treatment and the fourth week of study. Outcome measure was the reduction of cramp frequency after treatment and cramp intensity measured by 100-mm visual analogue scale. Fifty per cent reduction of cramp frequency was significantly higher in the magnesium group than the placebo group (86.0% vs. 60.5%, P=0.007). The 50% reduction of cramp intensity was also significantly higher in the treatment group than in the placebo group (69.8% vs. 48.8%, P=0.048). There were no significant differences between the two groups in terms of side effects such as nausea and diarrhoea. These results demonstrated that oral magnesium supplement can improve the frequency and intensity of pregnancy-induced leg cramps. Therefore, oral magnesium may be a treatment option for women suffering from pregnancy-induced leg cramps.
腿部抽筋在孕妇中很常见。目前,对于妊娠引起的腿部抽筋尚无标准治疗方法。本研究的目的是评估口服镁对患有腿部抽筋的孕妇的治疗效果。这项双盲、随机、安慰剂对照试验纳入了86名健康孕妇,她们妊娠14 - 34周,每周至少有两次腿部抽筋。研究期为4周。80名女性完成了研究。41名女性被分配至甘氨酸镁螯合物组(每日300毫克),39名女性被分配至安慰剂组。在开始治疗前和研究的第四周记录腿部抽筋的详细情况。结果指标是治疗后抽筋频率的降低以及通过100毫米视觉模拟量表测量的抽筋强度。镁组抽筋频率降低50%的比例显著高于安慰剂组(86.0%对60.5%,P = 0.007)。治疗组抽筋强度降低50%的比例也显著高于安慰剂组(69.8%对48.8%,P = 0.048)。两组在恶心和腹泻等副作用方面无显著差异。这些结果表明,口服镁补充剂可改善妊娠引起的腿部抽筋的频率和强度。因此,口服镁可能是患有妊娠引起的腿部抽筋的女性的一种治疗选择。