产时综合评估对产妇分娩结局影响的Meta分析  

Meta-analysis of the effect of intrapartum comprehensive evaluation on delivery outcome of parturients

作　　者：谈存梅[1] 武满丽 佟丹阳 丁兆红[1,2] TAN Cun-mei;WU Man-li;TONG Dan-yang;DING Zhao-hong(Department of Obstetrics,Gansu Provincial People's Hospital,Lanzhou,Gansu 730000,China;不详)

机构地区：[1]甘肃省人民医院产科,甘肃兰州730000 [2]甘肃中医药大学护理学院 [3]兰州大学护理学院

出　　处：《中国妇幼保健》2024年第18期3672-3677,共6页Maternal and Child Health Care of China

基　　金：甘肃省卫生行业科研计划项目(GSWSKY2017-75)。

摘　　要：目的评价产时综合评估对产妇分娩结局的影响。方法通过计算机检索数据库,收集有关产时综合评估对产妇分娩结局影响的随机对照试验,采用RevMan 5.4软件对符合纳入标准的研究展开Meta分析。结果最终纳入13项研究。Meta分析结果显示:与传统会阴保护方式相比,实施产时综合评估的产妇会阴切开率、会阴Ⅰ度裂伤例数、产后24 h会阴疼痛视觉模拟评分法(VAS)评分更低(均P<0.05),但在会阴Ⅱ度、Ⅲ度裂伤例数及新生儿Apgar评分方面差异均无统计学意义(均P>0.05)。结论产时综合评估对产妇分娩结局有一定积极作用,值得临床推广和应用。Objective To evaluate the effect of intrapartum comprehensive evaluation on delivery outcome of parturients.Methods Randomized controlled trials about the effect of intrapartum comprehensive evaluation on delivery outcome of parturients were collected through computer retrieval database,and Meta-analysis was conducted on the studies that met the inclusion standards using RevMan 5.4 software.Results Finally,13 studies were included.Meta-analysis showed that compared with traditional perineal protection methods,perineotomy rate,perineal first degree laceration number,perineal pain visual analogue scale(VAS)score at 24 hours after delivery in intrapartum comprehensive evaluation group were lower(P<0.05),but there was no statistically significant difference in perineal second and third degree laceration and neonatal Apgar score of newborn(P>0.05).Conclusion Intrapartum comprehensive evaluation has a positive impact on delivery outcome of parturients,which is worthy of clinical popularization and application.

关 键 词：产时综合评估 产妇 分娩结局 会阴切开 META分析 

分 类 号：R719[医药卫生—妇产科学]