患者报告的腿部痉挛治疗及其疗效。

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Birgit Khandalavala, Jenenne Geske, Morgan Karloff
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引用次数: 0

摘要

背景:腿部抽筋是一种常见和痛苦的患者报告使用许多治疗方案,其中一些有潜在的显著不良反应。这样的治疗往往少报给他们的临床医生,并寻求额外的信息来源。我们的研究调查了患者报告的治疗选择和治疗对腿部痉挛症状缓解的帮助,以及他们使用互联网来确定治疗方法。方法:一项新开发的横断面调查在中西部初级保健诊所进行。结果:在714名受访者中,365人报告有腿部抽筋的经历,并被纳入我们的报告。参与者的平均年龄为52.2岁(SD = 16.7)。女性占70.4%,白人占90.2%,农村占71.5%。腿部痉挛的药物治疗方案被引用的频率低于非药物治疗。最常见和最有效的药物干预是非处方止痛药。非药物治疗包括按摩、伸展和散步。在经历过腿抽筋的患者中,30.8% (n = 100)报告在互联网上查找治疗方法。网上发现的最流行的干预措施是水或电解质饮料,钾,镁和按摩受影响的肌肉。结论:下肢痉挛患者可采用多种治疗方案。许多非药物治疗方案至少在一定程度上是有益的,因此提供了更少的估计风险和更多的好处。近三分之一的腿部痉挛患者可能存在药物不良事件的潜在风险,特别是非处方止痛药。互联网的使用被视为问题的比例几乎相同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Reported Leg Cramp Treatments and Their Effectiveness.

Background: Leg cramps are common and distressing to patients who report using many treatment options, some of which have potential for significant adverse effects. Such treatments are often underreported to their clinicians, and additional sources for information are sought. Our study investigates patient-reported treatment choices and treatment helpfulness for leg cramp symptom relief, as well as their use of the Internet to identify treatments.

Methods: A newly developed cross-sectional survey was administered in Midwest primary care clinics.

Results: Of 714 survey respondents, 365 reported experiencing leg cramps and are included in our report. The mean age of our participants was 52.2 years (SD = 16.7). The sample was 70.4% female, 90.2% white, and 71.5% rural. Pharmacological treatment options for leg cramps were cited less frequently than nonpharmacological treatments. The most common and helpful pharmacologic interventions were over-the-counter analgesics. Nonpharmacologic treatments included massage, stretching, and walking. Of patients who experienced leg cramps, 30.8% (n = 100) reported looking up treatments on the Internet. The most popular interventions found on the Internet were hydration with either water or electrolyte drinks, potassium, magnesium, and massage of the affected muscle.

Conclusions: Patients with leg cramps use a variety of treatment options. Many nonpharmacological treatment options are at least somewhat beneficial, which thus present less estimated risk with more benefit. Nearly one-third of patients with leg cramps could be at potential risk of medication adverse events, particularly from over-the-counter analgesics. The use of the Internet could be seen as being problematic in nearly the same proportion.

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来源期刊
CiteScore
4.90
自引率
6.90%
发文量
168
审稿时长
4-8 weeks
期刊介绍: Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.
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