宫脊椎自我操纵后的不良事件:一个系统性审查
Kevin W Meyer1, Robert J Butler2, Robert J Trager3,4,5
1Rehabilitation Care Services, VA Puget Sound Health Care System, Tacoma, Washington, USA.
PM & R : the journal of injury, function, and rehabilitation
|January 26, 2026
概括
椎自动操纵可以导致严重的不良事件 (AE),包括死亡. 虽然这种做法很少见,但会带来潜在的风险,强调需要对其流行率和相关因素进行进一步研究.
科学领域:
- 脊柱操纵 脊柱操纵是一种
- 公共卫生 公共卫生
- 患者安全 患者安全
背景情况:
- 案例研究表明,与椎脊柱的自我操纵相关的潜在不良事件 (AE).
- 通过宫自我操纵进行自我管理的实践没有得到充分的证据.
- 了解宫自我操纵的风险对于患者的安全至关重要.
研究的目的:
- 系统地审查在宫自我操纵后发表的AE病例.
- 评估报告的副作用的严重程度.
- 描述个别病例细节和用于宫自我操纵的方法.
主要方法:
- 对从开始到2024年5月报告AE的观察性研究进行了全面的数据库搜索.
- 两名独立审稿人选了文章,评估了偏见风险,并提取了数据.
- 主要结果是AE严重程度,分为轻度,中度,严重或灾难性.
主要成果:
- 在宫自我操纵后发现了24个独特的AE病例.
- 大多数AE发生在操纵后的两天内,通常是由部疼痛引起的.
- 副作用的严重程度各不相同,其中17%被归类为灾难性,其中包括两起死亡事故.
结论:
- 虽然来自宫自我操纵的AE似乎并不常见,但它们有可能造成严重伤害.
- 该研究发现,关于这些AE的共同性,证据的确定性很低.
- 需要进一步的研究,以了解AEs的动机,流行率,发病率和诱导因素.
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