避孕干預對產(chǎn)后婦女生殖健康影響的meta分析1 西安醫(yī)學院，710000 陜西 西安；
2 西北婦女兒童醫(yī)院，710000 陜西 西安Meta analysis of the effect of contraceptive intervention on postpartum women′s reproductive healthLiu Ni1,2，Shan Li2, Chu Guanghua2 1 Xi′an Medical University, Xi ′an 710000, China;
 2 Northwest Women′s and Children′s Hospital, Xi ′an 710000, China摘要圖/表參考文獻相關(guān)文章(13) 摘要 目的 系統(tǒng)評價避孕干預對產(chǎn)后婦女的影響，為提高其生殖健康提供參考依據(jù)。方法 檢索CNKI、萬方、維普數(shù)據(jù)庫、PubMed、Embase，搜索避孕干預和常規(guī)護理的隨機對照研究，根據(jù)納入和排除標準篩選文獻并提取資料，質(zhì)量評價后使用RevMan 5.2軟件進行meta分析。 結(jié)果 評價共納入23項隨機對照研究，共16 684名隨訪對象。meta分析結(jié)果顯示: 干預可提高母乳喂養(yǎng)率（OR=1.89,95%CI:1.42～2.51），僅高質(zhì)量研究干預后對產(chǎn)后5個月純母乳喂養(yǎng)率無明顯影響（P=0.870）；干預可提高產(chǎn)后半年避孕率（OR=4.37，95%CI:2.00～9.52），剔除低質(zhì)量研究后差異仍有統(tǒng)計學意義（OR=0.17，95%CI:0.13～0.21）；干預可提高產(chǎn)后1年避孕率（OR=2.83，95%CI：1.67～4.82）；干預可降低產(chǎn)后意外妊娠率（OR=.55，95%CI：0.42～0.73），但4項高質(zhì)量研究分析（OR=0.64，95%CI:0.27～1.49）差異無統(tǒng)計學意義；干預可降低產(chǎn)后人工流產(chǎn)率（OR=0.35，95%CI：0.26～0.47），但描述該指標的文獻質(zhì)量均較低。 結(jié)論 避孕干預可能影響產(chǎn)后母乳喂養(yǎng)率、避孕率、產(chǎn)后意外妊娠率、人工流產(chǎn)率。但因納入的部分文獻質(zhì)量較低，需要更多大樣本、高質(zhì)量的隨機對照研究進一步證實。
服務把本文推薦給朋友加入我的書架加入引用管理器 E-mail AlertRSS作者相關(guān)文章劉妮單莉楚光華關(guān)鍵詞 ：產(chǎn)后,  避孕干預,  隨機對照研究,  meta分析   Abstract：Objective To evaluate the effect of contraceptive intervention on postpartum women and provide reference for improving their reproductive health. Methods CNKI, Wanfang, Weipu database, PubMed and Embase were searched for randomized controlled trials of contraceptive intervention and routine nursing. Literature was screened and data were extracted according to inclusion and exclusion criteria. After quality evaluation, meta analysis was performed with RevMan 5.2 software. Results Twenty-three randomized controlled trials were included, with a total of 16 684 subjects followed up. Metaanalysis showed that intervention could increase breastfeeding rates (OR=1.89,95%CI:1.42-2.51), and only the high-quality study intervention had no significant effect on the total nutritional rate of milk for five months after delivery (P=0.870). The intervention could increase the half-year contraceptive rate after delivery (OR=4.37, 95%CI：2.00-9.52), and the difference remained statistically significant after excluding low-quality studies (OR=0.17，95%CI: 0.13-0.21). The intervention could increase the one-year contraceptive rate after delivery (OR=2.83, 95%CI：1.67-4.82). The intervention could reduce the postpartum accidental pregnancy rate (OR=0.55, 95%CI：0.42-0.73), but the differences of four high quality studies were not statistically significant (OR=0.64, 95%CI：0.27-1.49). The intervention could reduce the rate of induced abortion (OR=0.35, 95%CI：0.26-0.47), but the quality of the documents that described the index was low. Conclusion Contraceptive interventions may affect postpartum breastfeeding rates, contraceptive rates, postpartum unintended pregnancy rates, and induced abortion rates. Because of the low quality of the inclusion of some documents, more large samples and high quality random control studies are required for further confirmation.Key words：postpartum   contraceptive intervention   randomized controlled trial   meta-analysis收稿日期: 2021-02-08     基金資助:陜西省科技廳重點研發(fā)計劃項目(2020SF-026)通訊作者:單莉，Email：shan1lily@hotmail.com   

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