中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
23期
3623-3625
,共3页
妊娠结局%危险因素%Meta
妊娠結跼%危險因素%Meta
임신결국%위험인소%Meta
Adverse pregnancy outcome%Risk factors%Meta
目的:通过 Meta 分析探讨影响中国妇女不良妊娠结局的危险因素。方法采用 Meta 分析的方法,对2010年1月至2015年1月国内有关不良妊娠结局的影响因素文献进行综合分析,根据纳入与排除标准,共检索到124篇文献,通过阅读题目及摘要,初筛得到文献38篇,通过仔细阅读全文,排除24篇,最终纳入14篇文献,研究这14篇文献的6项影响因素对妊娠结局的影响程度进行 Meta 分析,并进行综合定量评价,以期提高对不良妊娠结局危险因素的认识,为制定预防措施提供依据。结果胎位异常与不良妊娠结局存在强关联,为危险因素。而产妇有流产史与不良妊娠结局的发生无关联。多胎妊娠、梅毒感染与不良妊娠结局存在强关联,妊娠期高血压疾病与不良妊娠结局存在中等关联。胎位异常的 OR 值为3.48(2.70~4.43),流产史的 OR 值为1.14(0.90~91.44),妊娠期高血压疾病的 OR 值为2.88(1.69~4.92),多胎的OR 值为6.40(2.05~20.01),梅毒感染的 OR 值为5.54(1.64~18.64)。结论不良妊娠结局的危险因素由强到弱依次为:多胎妊娠、梅毒感染、胎位异常和妊娠期高血压疾病。
目的:通過 Meta 分析探討影響中國婦女不良妊娠結跼的危險因素。方法採用 Meta 分析的方法,對2010年1月至2015年1月國內有關不良妊娠結跼的影響因素文獻進行綜閤分析,根據納入與排除標準,共檢索到124篇文獻,通過閱讀題目及摘要,初篩得到文獻38篇,通過仔細閱讀全文,排除24篇,最終納入14篇文獻,研究這14篇文獻的6項影響因素對妊娠結跼的影響程度進行 Meta 分析,併進行綜閤定量評價,以期提高對不良妊娠結跼危險因素的認識,為製定預防措施提供依據。結果胎位異常與不良妊娠結跼存在彊關聯,為危險因素。而產婦有流產史與不良妊娠結跼的髮生無關聯。多胎妊娠、梅毒感染與不良妊娠結跼存在彊關聯,妊娠期高血壓疾病與不良妊娠結跼存在中等關聯。胎位異常的 OR 值為3.48(2.70~4.43),流產史的 OR 值為1.14(0.90~91.44),妊娠期高血壓疾病的 OR 值為2.88(1.69~4.92),多胎的OR 值為6.40(2.05~20.01),梅毒感染的 OR 值為5.54(1.64~18.64)。結論不良妊娠結跼的危險因素由彊到弱依次為:多胎妊娠、梅毒感染、胎位異常和妊娠期高血壓疾病。
목적:통과 Meta 분석탐토영향중국부녀불량임신결국적위험인소。방법채용 Meta 분석적방법,대2010년1월지2015년1월국내유관불량임신결국적영향인소문헌진행종합분석,근거납입여배제표준,공검색도124편문헌,통과열독제목급적요,초사득도문헌38편,통과자세열독전문,배제24편,최종납입14편문헌,연구저14편문헌적6항영향인소대임신결국적영향정도진행 Meta 분석,병진행종합정량평개,이기제고대불량임신결국위험인소적인식,위제정예방조시제공의거。결과태위이상여불량임신결국존재강관련,위위험인소。이산부유유산사여불량임신결국적발생무관련。다태임신、매독감염여불량임신결국존재강관련,임신기고혈압질병여불량임신결국존재중등관련。태위이상적 OR 치위3.48(2.70~4.43),유산사적 OR 치위1.14(0.90~91.44),임신기고혈압질병적 OR 치위2.88(1.69~4.92),다태적OR 치위6.40(2.05~20.01),매독감염적 OR 치위5.54(1.64~18.64)。결론불량임신결국적위험인소유강도약의차위:다태임신、매독감염、태위이상화임신기고혈압질병。
Objective To investigate the risk factors of adverse pregnancy outcome of women in China by Meta analysis.Methods Meta analysis was used to analyze the influencing factors of adverse pregnancy outcomes from January 2010 to January 2015.According to the inclusion and exclusion criteria,124 articles were retrieved,and 38 articles were excluded.14 papers were included in this study.Results There was strong correlation between fetal abnormalities and adverse pregnancy outcomes.And the maternal history of abortion and adverse pregnancy outcomes were not related.There was strong association between multiple pregnancy,syphilis infection and adverse pregnancy outcome,and there was moderate correlation between the high blood pressure in pregnancy and adverse pregnancy outcome.Abnormal fetal position,the OR value was 3.48 (2.70 -4.43),history of abortion OR value was 1.14 (0.90 -91.44),gestational hypertension OR value was 2.88 (1.69 -4.92),multiple births OR value was 6.40 (2.05 -20.01),syphilis OR value was 5.54 (1.64 -18.64).Conclusion The risk factors of adverse pregnancy outcomes from strong to weak are as follows:multifetal pregnancy,syphilis infection,abnormal fetal position and hyper-tensive disorder complicating pregnancy.