人工剥离胎盘与产后出血的系统回顾和Meta分析

发布时间：2018-02-09 14:57

本文关键词： 产程第三产后出血剖宫产术自然分娩人工剥离胎盘胎盘剥离系统分析　出处：《重庆医学》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨人工剥离胎盘干预第三产程对产后出血的影响。方法电子检索PubMed、EMBASE数据库、EBSCOhost数据库及相关期刊论文、中国优秀博士学位论文全文数据库、中国优秀硕士学位论文全文数据库、相关会议论文、维普中文科技期刊数据库、中国生物医学文献数据库(cBMdisc)、万方数据库所有公开发表的(截止至2015年10月)人工剥离胎盘积极干预第三产程用于预防产后出血的临床随机对照试验,进行质量评价后用RevMan4.2软件进行Meta分析。结果总共6个随机对照试验涉及2 435例参与者是合格的,其中剖宫产占5项,自然分娩占1项;英文文献占4项,中文文献占2项。剖宫产组人工剥离胎盘产后出血较对照组明显增加,自然分娩组没有大样本数据。结论剖宫产中应等待胎盘自然剥离,而自然分娩是否应利用人工剥离胎盘积极干预第三产程还待进一步的研究。
[Abstract]:Objective to investigate the effect of artificial placenta stripping on postpartum hemorrhage in the third stage of labor. Methods the EBSCOhost database, the full text database of Chinese journals and the full text database of excellent doctorate papers in China were searched electronically. Full text Database of Chinese excellent Master's degree thesis, full text Database of Chinese important Conference thesis, Database of Chinese Science and Technology Journals of Weipu, Chinese biomedical literature database cBMdisc.All publicly published (as of October 2015) artificial placenta stripping actively interfered with the third stage of labor for the prevention of postpartum hemorrhage in a randomized controlled clinical trial. After quality evaluation, Meta analysis was carried out with RevMan4.2 software. Results A total of 2 435 subjects involved in 6 randomized controlled trials were qualified, including 5 caesarean sections, 1 spontaneous delivery, 4 English literature, and 5 caesarean sections. Chinese literature accounted for 2 items. The number of postpartum hemorrhage in caesarean section group was significantly higher than that in the control group, and there was no large sample data in the spontaneous delivery group. Conclusion the spontaneous placental detachment should be waited for in cesarean section. Whether artificial placenta stripping should be used to actively interfere with the third stage of labor is still to be further studied.
【作者单位】：郑州大学第二附属医院妇产科;
【分类号】：R714.461

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