摘要
目的 检索并获取先天性肌性斜颈患儿早期筛查和管理的相关证据.方法 系统检索BMJ Best Practice、UpToDate、加拿大安大略注册护士协会网站、美国国立指南网、乔安娜布里格斯研究所循证卫生保健中心数据库、美国儿科协会网站、Cochrane Library、PubMed、Embase、Science Direct、CINAHL、中国知网等中英文数据库中关于先天性肌性斜颈患儿早期筛查和管理的文献,检索时限为2018年1月1日—2023年1月8日.由2名研究者进行文献质量评价,证据提取与汇总.结果 共纳入8篇文献,其中最佳临床实践1篇、临床决策1篇、指南1篇、系统评价4篇、专家共识1篇,最终从识别与评估、危险因素、干预时机、训练方式、训练强度、效果评价、注意事项7个方面总结出19条最佳证据.结论 本研究总结了先天性肌性斜颈患儿早期筛查和管理的最佳证据,为临床早期筛查先天性肌性斜颈患儿并进行管理提供依据.
Abstract
Objective To retrieve and obtain relevant evidence for early screening and management of children with congenital muscular torticollis.Methods BMJ Best Practice,UpToDate,Registered Nurses,Association of Ontario website,National Guideline Clearinghouse,Joanna Briggs Institute Evidence-based Healthcare Center Database,American Academy of Pediatrics website,Cochrane Library,PubMed,Embase,Science Direct,CINAHL,China National Knowledge Infrastructure and other Chinese and English databases were systematic searched for literatures on early screening and management of children with congenital muscular torticollis.The search period was form January 1,2018 to January 8,2023.Two researchers conducted literature quality evaluation,evidence extraction and summary.Results A total of eight literatures were included,including one best clinical practice,one clinical decision,one guideline,four systematic reviews,and one expert consensus.Finally,a total of 19 best evidences were summarized from seven aspects,including identification and evaluation,risk factors,intervention timing,training methods,training intensity,effect evaluation and precautions.Conclusions This study summarizes the best evidence for early screening and management of children with congenital muscular torticollis,providing a basis for clinical early screening and management of children with congenital muscular torticollis.
维普
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