孕期补充和替代药物的使用:对孕妇和医疗保健专业人员观点与经验的系统评价。
Complementary and Alternative Medicines Use during Pregnancy: A Systematic Review of Pregnant Women and Healthcare Professional Views and Experiences.
机构信息
Division of Applied Health Sciences, Medical and Dental School, University of Aberdeen, Aberdeen AB25 2ZG, UK.
出版信息
Evid Based Complement Alternat Med. 2013;2013:205639. doi: 10.1155/2013/205639. Epub 2013 Sep 30.
Aims. To undertake a systematic review of the recent (2008-2013) primary literature, describing views and experiences of CAM use during pregnancy by women and healthcare professionals. Method. Medline, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Review Library and Allied, and Complementary Medicine Database were searched. Studies reporting systemic CAM products (homeopathic preparations, herbal medicines, Vitamins and minerals, homeopathy, and special diets) alone or in combination with other nonsystemic CAM modalities (e.g., acupuncture) were included. Results. Database searches retrieved 2,549 citations. Removal of duplicates followed by review of titles and abstracts yielded 32 relevant studies. Twenty-two reported the perspectives of women and their CAM use during pregnancy, while 10 focused on healthcare professionals. The majority of studies had significant flaws in study design and reporting, including a lack of appropriate definitions of CAM and associated modalities, absence of detailed checklists provided to participants, the use of convenience sampling, and a general lack of scientific robustness in terms of data validity and reliability. Conclusion. To permit generalisability of study findings, there is an urgent need to expand the evidence base assessing CAMs use during pregnancy using appropriately designed studies.
目的。对 2008 年至 2013 年期间有关妊娠期间补充和替代医学(CAM)使用的观点和经验的近期文献进行系统综述,描述妇女和医疗保健专业人员对妊娠期间 CAM 使用的看法和经验。方法。检索了 Medline、护理和联合健康文献累积索引、Cochrane 系统评价数据库图书馆和联合以及补充医学数据库。纳入了单独或与其他非系统 CAM 方式(如针灸)联合报告全身 CAM 产品(顺势疗法制剂、草药、维生素和矿物质、顺势疗法和特殊饮食)的研究。结果。数据库搜索共检索到 2549 条引用。去除重复项后,再根据标题和摘要进行审查,得到 32 项相关研究。其中 22 项报告了妇女及其在妊娠期间使用 CAM 的观点,而 10 项则侧重于医疗保健专业人员。大多数研究在研究设计和报告方面存在明显缺陷,包括缺乏对 CAM 及其相关方式的适当定义、参与者未提供详细清单、使用方便抽样以及数据有效性和可靠性方面缺乏科学稳健性。结论。为了使研究结果具有普遍性,迫切需要使用适当设计的研究来扩展评估妊娠期间使用 CAM 的证据基础。
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