避孕干預(yù)對(duì)產(chǎn)后婦女生殖健康影響的meta分析1 西安醫(yī)學(xué)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(xiàn)相關(guān)文章(13) 摘要 目的 系統(tǒng)評(píng)價(jià)避孕干預(yù)對(duì)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(wàn)方、維普數(shù)據(jù)庫(kù)、PubMed、Embase，搜索避孕干預(yù)和常規(guī)護(hù)理的隨機(jī)對(duì)照研究，根據(jù)納入和排除標(biāo)準(zhǔn)篩選文獻(xiàn)并提取資料，質(zhì)量評(píng)價(jià)后使用RevMan 5.2軟件進(jìn)行meta分析。 結(jié)果 評(píng)價(jià)共納入23項(xiàng)隨機(jī)對(duì)照研究，共16 684名隨訪對(duì)象。meta分析結(jié)果顯示: 干預(yù)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(yù)后對(duì)產(chǎn)后5個(gè)月純母乳喂養(yǎng)率無(wú)明顯影響（P=0.870）；干預(yù)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(jì)學(xué)意義（OR=0.17，95%CI:0.13～0.21）；干預(yù)可提高產(chǎn)后1年避孕率（OR=2.83，95%CI：1.67～4.82）；干預(yù)可降低產(chǎn)后意外妊娠率（OR=.55，95%CI：0.42～0.73），但4項(xiàng)高質(zhì)量研究分析（OR=0.64，95%CI:0.27～1.49）差異無(wú)統(tǒng)計(jì)學(xué)意義；干預(yù)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(biāo)的文獻(xiàn)質(zhì)量均較低。 結(jié)論 避孕干預(yù)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(xiàn)質(zhì)量較低，需要更多大樣本、高質(zhì)量的隨機(jī)對(duì)照研究進(jìn)一步證實(shí)。
服務(wù)把本文推薦給朋友加入我的書(shū)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(yù),  隨機(jī)對(duì)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(diǎn)研發(fā)計(jì)劃項(xiàng)目(2020SF-026)通訊作者:單莉，Email：shan1lily@hotmail.com   

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