孕期和产后脊柱推拿的不良事件：系统评价与更新
Adverse events from spinal manipulations in the pregnant and postpartum periods: a systematic review and update.
作者信息
Weis Carol Ann, Stuber Kent, Murnaghan Kent, Wynd Shari
机构信息
Canadian Memorial Chiropractic College.
Texas Chiropractic College.
出版信息
J Can Chiropr Assoc. 2021 Apr;65(1):32-49.
BACKGROUND
The purpose of this study is to update a previous critical review of adverse events in pregnant and postpartum populations.
METHODS
The following databases were searched: PubMed, CINAHL, Index to Chiropractic Literature, Cochrane Database of Systematic Reviews/Cochrane Central Register of Controlled Trials and MEDLINE. We included all study design types as it was determined a priori that there would not be enough high-quality research on spinal manipulative therapy (SMT) in these populations to make any determinations. The Scottish Intercollegiate Guidelines Network (SIGN) and CARE (CAse REport) checklists were used for quality rating.
RESULTS
This update found one case study that demonstrated a serious adverse event in the cervical spine following SMT and a handful of minor and transient adverse events in the low back following SMT.
CONCLUSIONS
There was limited evidence of adverse events following SMT in these populations. Although we are calling for improved reporting of such events in future studies, it may be that such injuries are rare.
背景
本研究旨在更新之前对孕妇和产后人群不良事件的批判性综述。
方法
检索了以下数据库：PubMed、CINAHL、脊椎按摩文献索引、Cochrane系统评价数据库/Cochrane对照试验中央注册库和MEDLINE。我们纳入了所有研究设计类型，因为事先确定在这些人群中关于脊柱手法治疗（SMT）的高质量研究不足，无法做出任何判定。使用苏格兰校际指南网络（SIGN）和CARE（病例报告）清单进行质量评级。
结果
本次更新发现一项病例研究表明，SMT后颈椎出现严重不良事件，少数SMT后腰背部出现轻微和短暂的不良事件。
结论
这些人群中SMT后不良事件的证据有限。尽管我们呼吁在未来研究中改进此类事件的报告，但此类损伤可能很少见。
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