我国围产期心肌病流行病学特点及转归荟萃分析  

Meta-analysis of epidemic feature and outcomes of patients with peripartum cardiomyopathy in China

作　　者：岳晓辉[1,2] 刘楠[1,3] 薛晓艳 

机构地区：[1]北京大学人民医院急诊科,100044 [2]河北省唐山市滦南县妇幼保健院 [3]中国航空总医院

出　　处：《中国妇产科临床杂志》2011年第5期359-363,共5页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的了解我国围产期心肌病(peripartum candiomyophthy,PPCM)流行病学及临床发病的特点和转归。方法 检索1986年4月至2010年4月在中国期刊全文数据库(CNKI)和万方数据库中围产期心肌病的研究资料,总结分析我国PPCM的流行趋势、发病特点和临床转归。结果①共检索到文献170篇,根据文献资料入选及排除标准,经筛选并纳入本次荟萃的文献共有68篇,累计PPCM患者1 097例;②资料显示我国PPCM初产妇病例数多于经产妇(53.3%vs 46.7%);农村患者占81.5%;③产后3个月内发生PPCM者比例最高(67.3%),其次是妊娠最后1个月内(20.4%);④PPCM患者合并贫血比例较高(51.4%),其次是高血压(48.5%);⑤31.2%患者治愈,59.7%患者好转,未愈/死亡患者占9.1%。结论深入了解我国围产期心肌病的流行病学及发病特点和转归,有利于我们对本病的防治。Objective To understand thd epidemic,clinical prevalence and outcomes of the peripartum cardiomyopathy（PPCM） in China.Methods To retrieval the literature about peripartum cardiomyopathy in CNKI and wanfang database from April 1986 to April 2010,epidemic prevalence and clinical outcomes of PPCM in China were summarized and analyzed.Results ① 170 articles were found,according to the inclusion and exclusion criteria,68 of them were selected and altogether 1 097 patients cumulated into this meta-analysis.② It showed that in china most PPCM patients were primigravida.Most of the PPCM patients were from rural（81.5%）.③ PPCM occurred most frequently in 3 months of postpartum（67.3%）,secondly in the last month of pregnancy（20.4%）.④ Anemia was very common in PPCM patients（51.4%）,followed by high blood pressure（48.5%）.⑤ 31.2% of PPCM patients were cured,59.7% of them were improving,and 9.1% of them were died or unhealed.Conclusions Understanding deeply the epidemic,clinical characteristic and outcomes of Peripartum cardiomyopathy in our country will be helpful for us to control this disease.

关 键 词：围产期心肌病 流行病学特点 荟萃分析 

分 类 号：R714.7[医药卫生—妇产科学]