中国妇女流产后计划生育服务与实施效果的系统评价与Meta分析

发布时间：2018-01-15 13:31

本文关键词：中国妇女流产后计划生育服务与实施效果的系统评价与Meta分析　出处：《中华生殖与避孕杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的系统评价中国妇女流产后计划生育服务与重复流产和意外妊娠等的相关性,为提高中国妇女的避孕率和降低流产率提供参考依据。方法计算机系统检索了PubMed、Cochrane Library、CNKI、万方数据库(Wanfang Data)、中国生物医学文献数据库(CBM),查找与中国妇女流产后计划生育服务相关的随机对照试验(RCT)。严格按照纳入和排除标准筛除文献并提取相关数据。质量评价后,用Rev Man5.3和Stata12.1软件进行Meta分析。结果最终纳入17项研究,共涉及15 436名人工流产妇女,并且纳入的文献不存在发表偏倚。研究结果表明,人工流产的主要原因是未采取避孕措施和避孕失败,并且中国目前存在相对较高的重复流产率。与未实施流产后计划生育服务的妇女相比,流产后计划生育服务可以提高避孕率,降低意外妊娠率(OR=0.27,95%CI=0.20~0.35,P0.000 01)和重复流产率(OR=0.21,95%CI=0.18~0.24,P0.000 01)。结论合理的流产后计划生育服务可以提高无生育要求女性的避孕率,降低意外妊娠的发生率和重复流产率。
[Abstract]:Objective to evaluate the relationship between family planning services and repeated abortion and unwanted pregnancy in Chinese women. Methods A computer system was used to search PubMeden Cochrane Library CNKI for the purpose of improving contraceptive rate and reducing abortion rate in Chinese women. Wanfang data Base, Chinese Biomedical Literature Database (CBM). To find out the RCTT related to the family planning service of Chinese women after abortion. To screen the literature and extract the relevant data strictly according to the inclusion and exclusion criteria. Meta analysis was carried out with Rev Man5.3 and Stata12.1 software. The results were included in 17 studies involving 15 436 women with induced abortion. And there is no publication bias in the literature included. The results show that the main causes of induced abortion are lack of contraception and failure of contraception. At present, there is a relatively high rate of repeated abortion in China. Compared with women who do not provide post-abortion family planning services, post-abortion family planning services can improve the contraceptive rate. To reduce the accidental pregnancy rate and the rate of repeated abortion were 0.2795 and 0.20 0.35 (P0.00001) respectively. Conclusion reasonable family planning services after abortion can improve the contraceptive rate of women who do not need to have a child. [WT5HZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5 "BZ]. Reduce the incidence of unwanted pregnancy and repeated abortion rate.
【作者单位】：香港大学李嘉诚医学院;东南大学公共卫生学院;
【分类号】：R169.42
【正文快照】： 在2003年,全球的人工流产数是4 300万,而中国达到了1 300万,占世界的四分之一[1]。人工流产可以产生一系列并发症[2-3]和心理障碍[4],其对女性的危害已经引起了世界的普遍关注[5]。1991年,国际项目援助组织(International Project Assistance Services,IPAS)第一次提出流产后

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