妊娠期急性腹痛病人子宫破裂危险因素的Meta分析  

Risk factors of uterine rupture among patients with acute abdominal pain during pregnancy:a Meta-analysis

作　　者：江敏[1] 张春瑾 瞿茜 李咪琪 张娜[1] 严丽 黄素芳 JIANG Min;ZHANG Chunjin;QU Xi;LI Miqi;ZHANG Na;YAN Li;HUANG Sufang(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430030 China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北430030

出　　处：《循证护理》2021年第6期740-745,共6页Chinese Evidence-Based Nursing

摘　　要：目的:通过Meta分析明确妊娠期急性腹痛病人发生子宫破裂的危险因素。方法:计算机检索PubMed、Web of Science、the Cochrane Library、EMbase、MedLine、中国生物医学文献数据库、中国知网、维普数据库、万方数据库中关于妊娠期子宫破裂危险因素的研究,检索时间为各数据库建库至2019年5月,由2名研究者独立检索、筛选文献,提取数据并进行质量评价,采用Stata 16.0软件进行Meta分析。结果:共纳入10篇文献,涉及1484444例病人,共18项危险因素。Meta分析结果显示,产妇年龄、多产是妊娠期子宫破裂的重要危险因素。结论:现有证据表明高龄、多产妊娠期急性腹痛孕妇发生子宫破裂的可能性较大。Objective:To identify the risk factors of uterine rupture in patients with acute abdominal pain during pregnancy by Meta-analysis.Method:Studies on risk factors of uterine rupture during pregnancy were searched from PubMed,Web of Science,the Cochrane Library,EMbase,MedLine,CMB,CNKI,VIP,and WanFang database.The retrieval time was from the establishment of each database to May 2019.Two researchers independently searched and screened literatures,extracted data and evaluated the quality.Stata 16.0 was used for Meta-analysis.Results:A total of 10 articles were included,involving 1484444 patients and 18 risk factors.Meta-analysis results showed that maternal age and prolificacy were important risk factors for uterine rupture during pregnancy.Conclusion:Current evidence shows that elderly and prolific patients with acute abdominal pain during pregnancy are more likely to suffer from uterine rupture.

关 键 词：子宫破裂 妊娠 腹痛 危险因素 META分析 循证护理 

分 类 号：R714.2[医药卫生—妇产科学]