目的:系统评价中国人群产后出血(PPH)发生的危险因素.方法:计算机检索中国知网、万方数据库、Pubmed和Web of Science数据库,搜集有关PPH危险因素的研究,检索时限均为2003年1月—2023年1月,由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析.结果:共纳入14个研究,包括3957例患者.Meta分析结果显示:前置胎盘、胎盘植入、巨大儿(≥4000 g)、剖宫产、年龄≥35岁、流产史、孕前体质量(BMI)≥24 kg/m2、宫缩乏力、中重度贫血、产次≥2次、胎盘早剥、妊娠期高血压、产程延长和多胎妊娠是中国人群产后出血发生的危险因素.结论:我国女性PPH的发生与上述多种危险因素有关.医护人员在临床上应重视对PPH潜在危险因素的筛查,早期发现和识别高危因素并提前做好准备工作是减少PPH的根本所在.
Meta-analysis of Risk Factors of Postpartum Hemorrhage Among Chinese Population
Objective:To systematically evaluate risk factors for the occurrence of postpartum hemorrhage(PPH)in Chinese population.Methods:Computer searches of CNKI,Wanfang,Pubmed and Web of Science were conducted to collect studies on risk factors for PPH from January 2003 to January 2023.Meta-analysis was performed with RevMan 5.3 software.Results:A total of 14 studies including 3957 patients were included.Meta-analysis showed that placenta praevia,placental implantation,giant babies(≥4000 g),cesarean delivery,age≥35 years,history of miscarriage,pre-pregnancy BMI≥24 kg/m2,weak contractions,moderate to severe anemia,≥2 deliveries,placental abruption,hypertension during pregnancy,prolonged labor and multiple pregnancies were risk factors for the occurrence of postpartum hemorrhage in Chinese population.Conclusion:The occurrence of PPH of women in China is associated with a variety of risk factors mentioned above.Health care professionals should pay attention to the screening of potential risk factors for PPH in clinical practice,early detection and identification of high-risk factors,prevention before it happens.Advance preparation are fundamental to reduce PPH.
NETL
NSTL
万方数据
