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全球输卵管异位妊娠的时间模式:一个范围审查

Kirsten E Hepburn¹, Cynthia M Schmidt², Tiffany A Moore¹

¹College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Western journal of nursing research

|February 26, 2026

概括

宫外妊娠率显示时间模式,但不一致的全球数据和各种研究方法阻碍了理解. 未来的研究需要标准化的受孕日期分析,以更清楚地了解影响因素.

科学领域:

生殖健康生殖健康
流行病学流行病学
公共卫生公共卫生

背景情况:

宫外怀孕表现出时间模式,但缺乏标准化分析方法.
了解这些模式可能会揭示环境,生物或社会文化影响.
近一个世纪的数据存在,但缺乏统一的趋势调查方法.

研究的目的:

审查全球关于管外宫妊娠率时间模式的证据.
评估用于研究这些模式的方法.
发现阻碍对因果因素的调查的研究缺口.

主要方法:

按照乔安娜·布里格斯研究所的指导方针进行全面的范围审查.
在 2024 年 6 月搜索了多个数据库 (EMBASE,MEDLINE,CINAHL,Cochrane,Scopus,Google Scholar).
包括同行评审的研究,灰色文献和关于季节性,月度或季度波动的社论,提取研究特征,方法,趋势和假设.

主要成果:

分析了来自18个国家的32项研究 (1932-2022).
许多研究表明季节性或月度高峰,但研究结果缺乏全球一致性.
数据来源,发病率分母和分析方法 (概念与诊断日期) 的异质性限制了比较.

结论:

显著的方法差距阻碍了对异胎妊娠时间模式的研究.
未来的研究需要使用一致的时间单位 (周/月) 进行标准化,基于受孕日期的分析.
将门诊病例记录纳入数据集对于改善时间分析和概括性至关重要.

关键词:

异胎妊娠是一个异胎妊娠.有关风险因素的风险因素.范围审查范围审查审查季节性的季节性.时间模式的时间模式.

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