中国人群产后出血危险因素的Meta分析  

Meta-analysis of Risk Factors of Postpartum Hemorrhage Among Chinese Population

作　　者：许晓燕 詹剑川 Xu Xiaoyan;Zhan Jianchuan(Department of Medical Examination,Anxi County Hospital,Anxi,Fujian,362100,China)

机构地区：[1]福建省安溪县医院体检科,福建安溪362100

出　　处：《黑龙江医学》2024年第12期1417-1420,共4页Heilongjiang Medical Journal

摘　　要：目的:系统评价中国人群产后出血(PPH)发生的危险因素。方法:计算机检索中国知网、万方数据库、Pubmed和Web of Science数据库,搜集有关PPH危险因素的研究,检索时限均为2003年1月—2023年1月,由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果:共纳入14个研究,包括3957例患者。Meta分析结果显示:前置胎盘、胎盘植入、巨大儿(≥4000 g)、剖宫产、年龄≥35岁、流产史、孕前体质量(BMI)≥24 kg/m^(2)、宫缩乏力、中重度贫血、产次≥2次、胎盘早剥、妊娠期高血压、产程延长和多胎妊娠是中国人群产后出血发生的危险因素。结论:我国女性PPH的发生与上述多种危险因素有关。医护人员在临床上应重视对PPH潜在危险因素的筛查,早期发现和识别高危因素并提前做好准备工作是减少PPH的根本所在。Objective:To systematically evaluate risk factors for the occurrence of postpartum hemorrhage(PPH)in Chinese population.Methods:Computer searches of CNKI,Wanfang,Pubmed and Web of Science were conducted to collect studies on risk factors for PPH from January 2003 to January 2023.Meta-analysis was performed with RevMan 5.3 software.Results:A total of 14 studies including 3957 patients were included.Meta-analysis showed that placenta praevia,placental implantation,giant babies(≥4000 g),cesarean delivery,age≥35 years,history of miscarriage,pre-pregnancy BMI≥24 kg/m^(2),weak contractions,moderate to severe anemia,≥2 deliveries,placental abruption,hypertension during pregnancy,prolonged labor and multiple pregnancies were risk factors for the occurrence of postpartum hemorrhage in Chinese population.Conclusion:The occurrence of PPH of women in China is associated with a variety of risk factors mentioned above.Health care professionals should pay attention to the screening of potential risk factors for PPH in clinical practice,early detection and identification of high-risk factors,prevention before it happens.Advance preparation are fundamental to reduce PPH.

关 键 词：中国 产后出血 危险因素 META分析 

分 类 号：R714.461[医药卫生—妇产科学]