孕期盆底肌训练持续性指导对产妇分娩结局影响的Meta分析  

Effect ofcontinuous pelvic floor muscle training during pregnancy on delivery outcome： a Meta- analysis

作　　者：杨亚宁[1] 廖碧珍[1] 张紫琪[1] 李灵[1] Yang Yaning Liao Bizhen Zhang Ziqi Li Ling.(Department of Gynaecology and Obstetrics, the First Affiliated Hospital of Chongqing Medical University, Chongqing400016, China)

机构地区：[1]重庆医科大学附属第一医院妇产科,400016

出　　处：《中国实用护理杂志》2017年第4期316-320,共5页Chinese Journal of Practical Nursing

基　　金：重庆医科大学附属第一医院护理科研课题（HLJJ2015-07）

摘　　要：目的 评价孕期持续性盆底肌训练对产妇分娩结局的影响效果,为临床护理工作提供参考依据.方法 通过检索各数据库,纳入孕期持续性盆底肌训练干预产妇分娩结局的随机对照试验,利用EndNote软件进行筛选和查重后,应用RevMan 5.2软件对符合纳入标准的文献进行Meta分析.结果 共纳入11篇文献,Meta分析显示,孕期持续性盆底肌训练干预在降低会阴侧切率（OR=0.66,95%CI 0.48-0.89）,提高自然分娩率（OR=1.70,95%CI 1.32-2.19）及促进第一产程（MD=-0.52,95%CI-0.92--0.12）和第二产程进展（MD=-0.18,95%CI-0.30--0.06）方面差异均有统计学意义,干预组与对照组相比分别平均缩短第一产程0.52 h及第二产程0.18 h.结论 孕期持续性的盆底肌训练可以提高自然分娩率,减少会阴侧切的发生率并缩短产程时间,值得在临床上加强推广.Objective To evaluate effect of continuous pelvic floor muscle training（PFMT） during pregnancy on delivery outcome, and to provide reference for clinical nursing work. Methods By searching database, the literature about continuous PFMT during pregnancy on delivery outcome were included,then EndNote was used to check the literature and RevMan5.2 was applied for Meta-analysis of the literature which met the inclusion criteria. Results A total of 11 papers were included. Meta-analysis showed that continuous PFMT during pregnancy can reduce lateral perineal resection rate （OR=0.66, 95%CI 0.48-0.89）, increase rate of natural childbirth （OR=1.70, 95%CI 1.32-2.19） and promote progress of the first （MD=-0.52, 95%CI-0.92--0.12） and second （MD=-0.18, 95%CI-0.30--0.06） stage of labor. The intervention group shortened the first and the second stage of labor for 0.18h and 0.52h compared with the control group respectively. Conclusions Continuous PFMT during pregnancy can improve natural delivery rate, reduce the incidence of perineal side incision and shorten the time of labor, it is worthy of being promoted in clinical practice.

关 键 词：META分析 盆底肌训练 分娩结局 

分 类 号：R473.71[医药卫生—护理学]