CAJ | 학술논문

采用 Meta 分析的方法探讨导乐分娩对分娩镇痛的影响.方法检索 PubMed、CNKI、VIP、CBM 数据库等国内外主要医学数据库,按照一定的纳入和排除标准选取文献,对选取的文献采用 Review Manager V 5．0统计软件进行分析.结果Meta 分析结果显示,导乐分娩对分娩镇痛的影响如下：剖宫产率加权的均差(mean difference,MD)为0．42,95％ CI (confidence interval,可信区间)为[0．31,0．58]、总产程的 MD 为-2．55,95％ CI 为[-3．83,-1．27]、第二产程 MD 为-2．55,95％ CI 为[-3．83,-1．27]、硬膜外麻醉的相对危险度(risk ratio,RR)为0．92,95％ CI 为[0．87,0．98]、Apgar 评分的 RR 为0．45,95％ CI 为[0．32,0．62],导乐分娩组与对照组之间在上述指标的差异均有统计学意义(均 P ＜0．05).结论导乐分娩可以有效地降低剖宫产率、缩短产程,减少硬膜外麻醉使用,改善新生儿 Apgar 评分.
채용 Meta 분석적방법탐토도악분면대분면진통적영향.방법검색 PubMed、CNKI、VIP、CBM 수거고등국내외주요의학수거고,안조일정적납입화배제표준선취문헌,대선취적문헌채용 Review Manager V 5．0통계연건진행분석.결과Meta 분석결과현시,도악분면대분면진통적영향여하：부궁산솔가권적균차(mean difference,MD)위0．42,95％ CI (confidence interval,가신구간)위[0．31,0．58]、총산정적 MD 위-2．55,95％ CI 위[-3．83,-1．27]、제이산정 MD 위-2．55,95％ CI 위[-3．83,-1．27]、경막외마취적상대위험도(risk ratio,RR)위0．92,95％ CI 위[0．87,0．98]、Apgar 평분적 RR 위0．45,95％ CI 위[0．32,0．62],도악분면조여대조조지간재상술지표적차이균유통계학의의(균 P ＜0．05).결론도악분면가이유효지강저부궁산솔、축단산정,감소경막외마취사용,개선신생인 Apgar 평분.
By using meta analysis to explore effectiveness of doula on labor analgesia.Methods Main medical databases were retrieved from both home and abroad including PubMed,CNKI,VIP,CBM, and literature were selected based on inclusion and exclusion criterion and the papers were analyzed by Re-view Manager V 5.0 .Results Results of meta analysis showed that the effectiveness of doula on labor an-algesia were as follows:cesarean section rate’s MD was 0.42,95% CI [0.31,0.58];total birth process’MD was 2.55,95% CI [3.83,1.27];the second birth process’MD was 2.55,95% CI [3.83,1.27];epidural rate’RR was 0.92,95% CI [0.87,0.98]and Apgar score’s RR was 0.45,95% CI [0.32,0.62].The above index had significant differences between the doula group and control group (P <0.05).Conclusion Doula can effectively reduce cesarean section rate,shorten birth process,reduce the use of epidural anesthesia, and also improve the Apgar score.