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产后尿的危险因素:更新的系统性审查和元分析
1Department of Gynecology and Obstetrics, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
概括
这项研究确定了产后尿 (PUR) 的关键风险因素,包括仪器分娩和外周止痛. 了解这些因素有助于临床医生识别有风险的患者,以获得更好的产后护理.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 围产儿医学 围产儿医学
背景情况:
- 关于导致产后尿 (PUR) 的因素存在相互矛盾的报道.
- 准确识别PUR风险因素对于有效的患者管理至关重要.
研究的目的:
- 进行更新的系统审查和元分析.
- 为了识别和量化产后尿的重大风险因素.
主要方法:
- 在主要数据库 (PubMed,科学网,Embase,Cochrane图书馆) 进行系统的文献搜索,截至2023年11月.
- 包括观察性研究报告PUR风险因素的结果.
- 数据提取和对调整和未调整的赔率比率 (ORs) 和95%置信区间 (CI) 的元分析.
主要成果:
- 对21项涉及36,951名参与者的研究进行了分析.
- 确定了八个具有统计学意义的PUR风险因素.
- 有意义的因素包括仪器分娩 (OR 2.96),外周止痛 (OR 2.99),围损伤 (OR 2.75),劳动增大 (OR 2.21),劳动诱导 (OR 1.73),表皮切割 (OR 1.56),无双性 (OR 1.55) 和延长劳动持续时间 (OR 1.04).
结论:
- 仪器分娩,延长的分娩,表皮切割,无双性,外周止痛,分娩增生/诱导和周围损伤已被证实是PUR的显著风险因素.
- 这些发现有助于临床医生识别和管理容易患产后尿的患者.
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