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首页> 外文期刊>International journal of osteopathic medicine: IJOM >Vertebral and internal carotid artery flow during vascular premanipulative testing using duplex Doppler ultrasound measurements: A systematic review
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Vertebral and internal carotid artery flow during vascular premanipulative testing using duplex Doppler ultrasound measurements: A systematic review

机译：使用双重多普勒超声测量进行血管操作前测试期间的椎骨和颈内动脉血流：系统评价

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Objectives: To systematically review cervical artery blood flow behaviour by duplex Doppler ultrasonography with different cervical movements often used during vascular premanipulative testing.Methods: PRISAAA guidelines were followed to conduct this systematic review. Electronic search was carried out using the following databases: Pubmed, Web of Science, ScienceDirect, Scopus, IME, Dialnet, Lilacs, ENFISPO and AMED. Observational studies focussing on the duplex Doppler ultrasound measurements of cervical artery flow (VA or ICA) in different cervical positions were included. Studies selection was conducted by two reviewers who screened firstly for titles, then for abstracts and finally for full articles. The following data were extracted from the studies: author, year, sample, measurements and instruments, cervical movement and results.Results: 379 records were identified. Seven articles met the inclusion criteria and were considered for this systematic review. Five studies tested only vertebral artery flow, one study assessed internal carotid artery flow and the remaining study examined both. There is a lack of homogeneity concerning the samples included in the studies (age, sex and presence or absence of symptoms) and the methodology used for measuring blood flow. Four out of the seven studies did not obtain any significant decrease of cervical arteries blood flow in different neck positions, while the remaining three studies found a significant decrease of the contralateral vertebral artery blood flow.Conclusions: Results of the studies included in this systematic review show no consensus. Further research and better methodological designs are required to analyze cervical artery blood flow behaviour with different neck movements and elucidate the role of vascular premanipulative testing.
机译：目的：通过双普勒超声检查系统对颈动脉血流行为进行系统回顾，并在血管性手法测试中经常使用不同的颈项动作。方法：遵循PRISAAA指南进行系统回顾。使用以下数据库进行了电子搜索：Pubmed，Web of Science，ScienceDirect，Scopus，IME，Dialnet，丁香花，ENFISPO和AMED。观察性研究集中在不同宫颈位置的颈动脉血流（VA或ICA）的多普勒超声检查。研究选择由两名审稿人进行，他们首先筛选标题，然后筛选摘要，最后筛选全文。从研究中提取以下数据：作者，年份，样本，测量和仪器，宫颈运动和结果。结果：鉴定了379条记录。七篇文章符合纳入标准，并被考虑进行系统的审查。五项研究仅测试椎动脉血流，一项研究评估颈内动脉血流，其余研究均对这两项进行检查。研究中所涉及的样品（年龄，性别以及是否存在症状）以及用于测量血流的方法均缺乏均一性。七项研究中有四项在不同颈部位置的颈动脉血流量没有明显减少，而其余三项研究发现对侧椎动脉血流量显着减少。结论：本系统综述的研究结果没有达成共识。需要进一步的研究和更好的方法设计来分析具有不同颈部运动的宫颈动脉血流行为，并阐明血管操作前测试的作用。

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