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妊娠合并高血压疾病与贝尔氏面瘫的相关性:系统评价和荟萃分析方案。

Association between hypertensive disorders and Bell's palsy in pregnancy: protocol for a systematic review and meta-analysis.

机构信息

Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

出版信息

BMJ Open. 2024 May 17;14(5):e080322. doi: 10.1136/bmjopen-2023-080322.

DOI:10.1136/bmjopen-2023-080322
PMID:38760037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11103191/
Abstract

BACKGROUND

Bell's palsy is an idiopathic peripheral nerve palsy involving the facial nerve. Pregnancy, diabetes mellitus and hypertension are the risk factors for Bell's palsy. However, the association between hypertensive disorders and Bell's palsy during pregnancy or the puerperium remains unclear. This systematic review will comprehensively summarise the literature and evaluate the association between Bell's palsy and hypertensive disorders during pregnancy or the puerperium.

METHODS AND ANALYSIS

Systematic searches of PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials will be undertaken using prespecified search strategies. Observational studies (cross-sectional studies, cohort studies, case reports and series case reports) written in English that investigate the association between hypertensive disorders of late pregnancy and Bell's palsy during pregnancy or the puerperium will be included. Different authors will independently conduct the eligible study selection, perform data extraction and appraise the quality of included studies. Subgroup analysis will be carried out based on the age of pregnant women (≤35 years old, >35 years old), parity (primipara, multipara) and fetus number (singleton or multiple-gestation pregnancy).

ETHICS AND DISSEMINATION

This review will be based on published literature, and thus there is no requirement for ethics approval. The results of this study will aid in the knowledge of the relationship between Bell's palsy during pregnancy or the puerperium and hypertensive disorders of late pregnancy. The results of this systematic review will be shared through publication in a peer-reviewed journal with good visibility for the field of obstetrics and presentations at academic conferences.

PROSPERO REGISTRATION NUMBER

CRD42023422902.

摘要

背景

贝尔氏麻痹是一种特发性周围性面神经麻痹,涉及面神经。妊娠、糖尿病和高血压是贝尔氏麻痹的危险因素。然而,妊娠或产褥期高血压与贝尔氏麻痹之间的关联尚不清楚。本系统评价将全面总结文献,评估妊娠或产褥期高血压与贝尔氏麻痹之间的关联。

方法和分析

系统检索 PubMed、MEDLINE、EMBASE 和 Cochrane 对照试验中心注册库,使用预设的检索策略。纳入使用英语撰写的、调查晚期妊娠高血压与妊娠或产褥期贝尔氏麻痹之间关联的观察性研究(横断面研究、队列研究、病例报告和系列病例报告)。不同的作者将独立进行合格研究的选择、数据提取和纳入研究质量评估。将根据孕妇年龄(≤35 岁,>35 岁)、产次(初产妇、经产妇)和胎儿数量(单胎或多胎妊娠)进行亚组分析。

伦理与传播

本综述将基于已发表的文献,因此无需伦理批准。本研究的结果将有助于了解妊娠或产褥期贝尔氏麻痹与晚期妊娠高血压之间的关系。本系统评价的结果将通过发表在同行评议的期刊上并在妇产科会议上展示来共享。

前瞻性注册号

CRD42023422902。

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Association between hypertensive disorders and Bell's palsy in pregnancy: protocol for a systematic review and meta-analysis.妊娠合并高血压疾病与贝尔氏面瘫的相关性:系统评价和荟萃分析方案。
BMJ Open. 2024 May 17;14(5):e080322. doi: 10.1136/bmjopen-2023-080322.
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引用本文的文献

1
The Impact of High Glycated Hemoglobin A1c on Prognosis in Patients with Bell's Palsy: A Propensity Score Matchingatched Analysis.高糖化血红蛋白A1c对贝尔面瘫患者预后的影响:一项倾向评分匹配分析
J Int Adv Otol. 2025 Mar 25;21(2):1-8. doi: 10.5152/iao.2025.241759.

本文引用的文献

1
Prenatal hypertension as the risk of eclampsia, HELLP syndrome, and critical obstetric hemorrhage.产前高血压是子痫、HELLP综合征和严重产科出血的风险因素。
Hypertens Res. 2024 Feb;47(2):455-466. doi: 10.1038/s41440-023-01511-8. Epub 2023 Nov 22.
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Bell palsy.贝尔麻痹
CMAJ. 2022 Jun 27;194(25):E867. doi: 10.1503/cmaj.220267.
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Bell's Palsy in Pregnancy: A Case Series.妊娠期贝尔麻痹:病例系列
Case Rep Neurol. 2020 Nov 26;12(3):452-459. doi: 10.1159/000509682. eCollection 2020 Sep-Dec.
4
Development and validation of a prediction model on severe maternal outcomes among pregnant women with pre-eclampsia: a 10-year cohort study.预测子痫前期孕妇严重母胎结局的模型的建立与验证:一项 10 年队列研究。
Sci Rep. 2020 Sep 24;10(1):15590. doi: 10.1038/s41598-020-72527-0.
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The etiology of Bell's palsy: a review.贝尔面瘫的病因:综述
J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28.
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Hypertensive Disorders of Pregnancy: ISSHP Classification, Diagnosis, and Management Recommendations for International Practice.妊娠期高血压疾病:国际实践的国际妊娠高血压研究学会分类、诊断及管理建议
Hypertension. 2018 Jul;72(1):24-43. doi: 10.1161/HYPERTENSIONAHA.117.10803.
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Bell's palsy: aetiology, clinical features and multidisciplinary care.贝尔氏麻痹:病因、临床特征和多学科治疗。
J Neurol Neurosurg Psychiatry. 2015 Dec;86(12):1356-61. doi: 10.1136/jnnp-2014-309563. Epub 2015 Apr 9.
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Multiple concomitant cranial nerve palsies secondary to preeclampsia.子痫前期继发的多发性伴发颅神经麻痹
J Neuroophthalmol. 2015 Jun;35(2):179-81. doi: 10.1097/WNO.0000000000000230.
9
Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.系统评价与Meta分析方案的首选报告项目(PRISMA-P)2015声明。
Syst Rev. 2015 Jan 1;4(1):1. doi: 10.1186/2046-4053-4-1.
10
Bilateral Bell palsy as a presenting sign of preeclampsia.子痫前期的首发表现为双侧贝尔麻痹。
Obstet Gynecol. 2014 Aug;124(2 Pt 2 Suppl 1):459-461. doi: 10.1097/AOG.0000000000000221.