术前非剃毛备皮与常规剃毛备皮对阴道分娩产妇预后比较的Meta分析

发布时间：2018-11-26 09:14

【摘要】：目的通过Meta分析比较阴道分娩术前行常规剃毛备皮与非剃毛备皮对产妇预后的影响。方法计算机检索Cochrane Library、PubMed、EMbase、SCI、Ovid、中国生物医学文献数据库(CBM)、万方数据库(Wanfang)、中文科技期刊数据库(VIP)和相关期刊论文(CNKI),收集比较经阴道分娩术前行剃毛备皮与非剃毛备皮的随机或非随机对照试验,检索时间均从建库至2015年12月。由两名评价者按照纳入与排除标准选择试验,提取资料和评价质量后,采用RevMan 5.2.6软件进行分析。结果最终纳入6项研究(英文3篇、中文3篇),共1 924例产妇,其中剃毛备皮组1 083例,非剃毛备皮组841例。剃毛备皮组与非剃毛备皮组产妇产后发热的发病率比较,差异无统计学意义[Z=0.57,P=0.57,RR=1.14,95%CI(0.73,1.76)];两组产妇伤口感染比较,差异亦无统计学意义[Z=0.43,P=0.66,RR=1.11,95%CI(0.69,1.78)]。结论阴道分娩前无需常规行剃毛备皮。
[Abstract]:Objective to compare the effect of routine shaving and non-shaving before vaginal delivery on the prognosis of parturient by Meta analysis. Methods Cochrane Library,PubMed,EMbase,SCI,Ovid, Chinese biomedical literature database (CBM), Wanfang database (Wanfang), Chinese sci-tech journal database (VIP) and Chinese periodical full-text database (CNKI), To collect and compare the randomized or non-randomized controlled trials of shaving and non-shaving before vaginal delivery. The retrieval time was from the construction of the database to December 2015. According to the inclusion and exclusion criteria, the two evaluators selected the test, extracted the data and evaluated the quality, and analyzed them by RevMan 5.2.6 software. Results A total of 1 924 cases of parturient were included in 6 studies (3 in English and 3 in Chinese), including 1 083 cases in shaving and skin preparation group and 841 cases in non shaving and skin preparation group. There was no significant difference in the incidence of postpartum fever between shaved and unshaved women [ZH0.57P0. 57 RRN 1.1495 CI (0. 73 卤1. 76)]; There was no significant difference in wound infection between the two groups. Conclusion there is no need for routine shaving and skin preparation before vaginal delivery.
【作者单位】：长江大学医学院护理系;长江大学附属第一医院妇产科;
【基金】：2016-2017年度湖北省卫生计生委医药院校专项(WJ2016-Y-04) 2016年度重庆市出版专项资金资助项目
【分类号】：R714.3

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