摘要
目的通过Meta分析比较阴道分娩术前行常规剃毛备皮与非剃毛备皮对产妇预后的影响。方法计算机检索Cochrane Library、PubMed、EMbase、SCI、Ovid、中国生物医学文献数据库(CBM)、万方数据库(Wanfang)、中文科技期刊数据库(VIP)和中国期刊全文数据库(CNKI),收集比较经阴道分娩术前行剃毛备皮与非剃毛备皮的随机或非随机对照试验,检索时间均从建库至2015年12月。由两名评价者按照纳入与排除标准选择试验,提取资料和评价质量后,采用RevMan 5.2.6软件进行分析。结果最终纳入6项研究(英文3篇、中文3篇),共1 924例产妇,其中剃毛备皮组1 083例,非剃毛备皮组841例。剃毛备皮组与非剃毛备皮组产妇产后发热的发病率比较,差异无统计学意义[Z=0.57,P=0.57,RR=1.14,95%CI(0.73,1.76)];两组产妇伤口感染比较,差异亦无统计学意义[Z=0.43,P=0.66,RR=1.11,95%CI(0.69,1.78)]。结论阴道分娩前无需常规行剃毛备皮。
Objective To compare the prognoses in pregnancy women receiving routine perineal shaving and non perineal shaving before vaginal delivery through meta analysis. Methods The randomized controlled trials or non-randomized controlled tri- als for comparing the prognoses in pregnancy women receiving routine perineal shaving and non perineal shaving before vaginal de- livery were retrieved from databases, including Cochrane Library, PubMed, EMbase, SCI, Ovid, CBM, Wanfang, VIP and CNKI, till December 2015. The studies were selected according to the inclusion and exclusion criteria,and the data were extracted and evalua- ted by two reviewers independently. The Meta-analysis was conducted via RevMan 5.2.6 software. Results A total of 6 studies （including three articles in English and three ones in Chinese） including 1 924 delivery women were included, 1 083 cases in the per- ineal shaving group and 841 cases in the non perineal shaving group. No statistically significant difference was found in the incidence rate of fever after delivery between the perineal shaving group and the non perineal shaving group[Z= O. 57 ,P=O. 57 ,RR =1.14, 95 % CI（O.73,1.76） ], and there was no statistically significant difference in post-operative wound infection between the two groups i-Z=0.43,P=0.66,RR：l. 11,95%CI（0. 69,1. 78）]. Conclusion Perineal shaving may be not an essential nursing intervention before vaginal delivery.
出处
《重庆医学》
CAS
北大核心
2017年第19期2665-2667,2671,共4页
Chongqing medicine
基金
2016-2017年度湖北省卫生计生委医药院校专项(WJ2016-Y-04)
2016年度重庆市出版专项资金资助项目
关键词
阴道分娩
剃毛
备皮
META分析
vaginal delivery
perineal shaving
skin preparation
Meta-analysis
