产科麻醉中的种族和民族差异:系统性审查和元分析
Robert Craig1, Shaima El Nour1, Lauren Borg Xuereb2
1Department of Anaesthesia and Perioperative Medicine, University College London Hospitals, London, UK.
Anaesthesia
|March 6, 2025
概括
在产科麻醉中,种族和民族差异仍然存在. 黑人和亚洲患者接受的劳动神经轴痛止痛治疗较少,而黑人患者更有可能接受剖腹产全身麻醉.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 健康差距 研究 研究 研究 研究
背景情况:
- 在产科领域持续存在的全球种族和民族差异影响了获得,经验和结果.
- 尽管孕产妇死亡率总体有所改善,但这些差异仍然很明显.
研究的目的:
- 调查和阐明在产科止痛和麻醉中的种族和民族差异.
- 量化不同种族和种族群体在分娩期间使用疼痛管理和麻醉的差异.
主要方法:
- 在全球范围内对英语语言研究进行了对多个数据库的全面搜索.
- 包括的研究比较了两个或两个以上的种族或民族之间的产科麻醉使用情况.
- 来自19项研究的数据被汇总为元分析,25项研究中的13项被评估为具有高或非常高的偏差风险.
主要成果:
- 对13,398,421名患者的分析显示,与白人患者相比,亚裔和黑人患者接受分娩神经轴痛解的几率较低.
- 对2,139,763名患者的分析显示,黑人患者比白人患者更有可能在剖腹产时接受全身麻醉 (OR 1.60).
结论:
- 在产科麻醉实践中证实了显著的种族和民族差异.
- 进一步的研究是必要的,以了解这些差异的根本原因.
- 有针对性的干预措施至关重要,以尽量减少产科麻醉护理现有的不平等.
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