气囊仿生助产对剖宫产后瘢痕子宫孕妇自然分娩干预效果与安全性的Meta分析  

Efficacy and Safety of Balloon Bionic Midwifery Intervention in Natural Delivery of Pregnant Women with Scarred Uterus after Cesarean Section:a Meta-analysis

作　　者：颜航 YAN Hang(Hubei Polytechnic Institute,Xiaogan,Hubei 432000,China)

机构地区：[1]湖北职业技术学院,湖北孝感432000

出　　处：《湖北职业技术学院学报》2025年第1期107-112,共6页Journal of Hubei Polytechnic Institute

基　　金：2024年湖北职业技术学院一般课题“气囊仿生助产对剖宫产后瘢痕子宫孕妇自然分娩干预效果与安全性的循证研究”(课题编号:2024B09)的阶段性研究成果。

摘　　要：目的:评价气囊仿生助产对剖宫产后瘢痕子宫产妇自然分娩的干预效果与安全性。方法:检索中英文数据库中有关气囊仿生助产对剖宫产后瘢痕子宫产妇自然分娩的干预效果的临床对照试验,采用RevMan 5.4软件进行Meta分析。结果:共纳入12篇文献,涉及1816例患者。Meta分析结果显示:气囊仿生助产组产妇的自然分娩成功率明显增高,转剖宫产率、产钳助产率、产程时间、产后并发症发生率、胎儿窘迫发生率、新生儿窒息率、产妇出血量均低于常规阴道助产组,差异有统计学意义(P<0.05)。结论:气囊仿生助产可提高剖宫产后瘢痕子宫产妇的自然分娩成功率,降低转剖宫产率、产钳助产率、产后并发症发生率、胎儿窘迫发生率和新生儿窒息率,缩短产程时间,减少产妇出血量,是一种安全可行的助产方式。由于受到纳入研究数量及质量的限制,上述结论尚需要更多样本大、质量高的研究探讨。Objective:To evaluate the effects and safety of balloon bionic midwifery intervention in natural delivery of pregnant women with scarred uterus after cesarean section.Methods:Controlled clinical trials,which explored the effects of balloon bionic midwifery intervention in natural delivery of pregnant women with scarred uterus after cesarean section,were searched in Chinese and English databases.Meta-analysis was performed using RevMan 5.4 software.Results:A total of 12 articles were included,involving 1,816 patients.The results of meta-analysis showed that the balloon bionic midwifery group was superior to the traditional vaginal midwifery group on the natural delivery rate,the transfer cesarean section rate,the forceps assisted delivery rate,the stage of labor time,the incidence of postpartum complications,the incidence of fetal distress,the neonatal asphyxia rate and the maternal bleeding volume of balloon bionic midwifery group were less than that of traditional vaginal midwifery group.The differences were statistically significant(P<0.05).Conclusion:Balloon bionic midwifery can improve the success rate of natural delivery of women with scarred uterus after cesarean section,reduce the stage of labor time,the transfer cesarean section rate,the forceps assisted delivery rate,the incidence of postpartum complications,the incidence of fetal distress,the neonatal asphyxia rate and the maternal bleeding volume.It is a safe and feasible way of midwifery.Due to limitations on the number and quality of included studies,the above conclusions still need more studies with large samples and high quality.

关 键 词：气囊仿生助产 瘢痕子宫 自然分娩 安全性 META分析 

分 类 号：R71[医药卫生—妇产科学]