[1]张 雪,魏 芬,谈存梅,等.产后6~8周盆腔器官脱垂患病率的Meta分析[J].医学信息,2023,36(08):98-103.[doi:10.3969/j.issn.1006-1959.2023.08.020]
　ZHANG Xue,WEI Fen,TAN Cun-mei,et al.Meta-analysis of the Prevalence of Pelvic Organ Prolapse at 6-8 Weeks Postpartum[J].Journal of Medical Information,2023,36(08):98-103.[doi:10.3969/j.issn.1006-1959.2023.08.020]
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产后6~8周盆腔器官脱垂患病率的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年08期
页码:
98-103
栏目:
论著
出版日期:
2023-04-15

文章信息/Info

Title:
Meta-analysis of the Prevalence of Pelvic Organ Prolapse at 6-8 Weeks Postpartum
文章编号:
1006-1959（2023）08-0098-06
作者:
张 雪; 魏 芬; 谈存梅; 等
（1.甘肃中医药大学护理学院，甘肃 兰州 730000；2.甘肃省人民医院产科，甘肃 兰州 730000；3.甘肃省人民医院妇科一病区，甘肃 兰州 730000）
Author(s):
ZHANG Xue; WEI Fen; TAN Cun-mei; et al.
(1.School of Nursing,Gansu University of Chinese Medicine,Lanzhou 730000,Gansu,China;2.Department of Obstetrics,Gansu Provincial Hospital,Lanzhou 730000,Gansu,China;3.The First Ward of Gynecology Department,Gansu Provincial Hospital,Lanzhou 730000,Gansu,China)
关键词:
产后; 盆腔器官脱垂; 患病率; 流行病学
Keywords:
Postpartum; Pelvic organ prolapse; Prevalence; Epidemiology
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2023.08.020
文献标志码:
A
摘要:
目的 系统评价产后6~8周盆腔器官脱垂的发病情况，以期为产妇盆腔器官脱垂的预防及管理提供依据。方法 计算机检索CNKI、WanFang Data、VIP、CBM、PubMed、Web of Science、The Cochrane Library和EMbase数据库，搜集有关产后6~8周盆腔器官脱垂患病率的横断面研究和队列研究，检索时限均从建库至2021年4月。由2名研究者独立筛选文献、提取数据，并对纳入研究质量进行偏倚风险评估，研究结果使用Stata 15.0进行Meta分析。结果 共纳入13篇原始研究，涵盖25 307名产妇。Meta分析结果显示：产后6~8周盆腔器官脱垂的患病率为35.2%[95%CI（16.6%~53.9%）]。亚组分析结果显示：阴道前壁膨出的患病率为34.6%[95%CI（5.7%~82.4%）]，高于阴道后壁膨出的16.2%[95CI（5.3%~40.1%）]和子宫脱垂的15.7%[95%CI（1.9%~64.2%）]；POP-Q分期的Ⅰ度脱垂患病率为16.2%[95%CI（3.3%~52.3%）]，高于Ⅱ度脱垂的2.7%[95%CI（1.3%~4.2%）]和Ⅲ度脱垂的1.0%[ 95%CI（0.5%~1.5%）]；经阴道分娩产妇的患病率为54.5%[95%CI（12.6%~96.4%）]，高于剖宫产产妇的31.8%[95%CI（13.3%~50.4%）]；以脱离正常解剖位置为诊断标准的患病率为61.3%[95%CI（58.3%~64.3%）]，高于以POP-Q分期为诊断标准的36.6%[95%CI（8.0%~65.2%）]和以POP-Q≥Ⅱ度为诊断标准的14.1%[95%CI（7.3%~20.9%）]；华东地区的患病率为46.3%[95%CI（40.3%~52.2%）]，高于华南地区的44.2%[95%CI（21.3.0%~67.1%）]和华北地区的17.5%[95%CI（4.0%~41.9%）]；2010~2015年的患病率为53.2%[95%CI（41.8%~64.7%）]，高于2016~2020年的29.8%[95%CI（7.4%~52.3%）]。结论 2016年以后较2016年以前产后6~8周盆腔器官脱垂的患病率虽明显下降，但仍高达29.8%，应引起产妇、医院及社会的高度关注。为关爱产后女性，助力产后科学康复，应采取适当防治措施。
Abstract:
Objective To systematically evaluate the incidence of pelvic organ prolapse at 6-8 weeks postpartum, in order to provide a basis for the prevention and management of pelvic organ prolapse.Methods CNKI, WanFang Data, VIP, CBM, PubMed, Web of Science, The Cochrane Library and EMbase databases were searched by computer to collect cross-sectional studies and cohort studies on the prevalence of pelvic organ prolapse at 6-8 weeks postpartum. The search time was from the establishment of the database to April 2021. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Meta-analysis was performed using Stata 15.0.Results A total of 13 original studies were included, with 25 307 women. The results of Meta-analysis showed that the prevalence of pelvic organ prolapse at 6-8 weeks postpartum was 35.2% [95%CI(16.6%-53.9%)]. The results of subgroup analysis showed that the prevalence of anterior vaginal wall prolapse was 34.6%[95%CI(5.7%-82.4%)], which was higher than 16.2% [95%CI(5.3%-40.1%)] of posterior vaginal wall prolapse and 15.7%[95%CI(1.9%-64.2%)] of uterine prolapse. The prevalence of grade Ⅰ prolapse in POP-Q stage was 16.2%[95%CI(3.3%-52.3%)], which was higher than 2.7%[95%CI(1.3%-4.2%)] of grade Ⅱ prolapse and 1.0% [95%CI(0.5%-1.5%)] of grade Ⅲ prolapse. The prevalence of vaginal delivery was 54.5%[95%CI(12.6%-96.4%)], which was higher than 31.8% [95%CI(13.3%-50.4%)] of cesarean section. The prevalence was 61.3% [95%CI(58.3%-64.3%)] with the diagnostic criteria of detachment from normal anatomical position, which was higher than 36.6%[95%CI(8.0%-65.2%)] with the diagnostic criteria of POP-Q stage and 14.1%[95%CI(7.3%-20.9%)] with the diagnostic criteria of POP-Q≥Ⅱ degree. The prevalence in East China was 46.3%[ 95%CI(40.3%-52.2%)], which was higher than 44.2%[95%CI(21.3.0%-67.1%)] in South China and 17.5%[95%CI(4.0%-41.9%)] in North China. The prevalence in 2010-2015 was 53.2%[95%CI(41.8%-64.7%)], which was higher than 29.8%[95%CI(7.4%-52.3%)] in 2016-2020.Conclusion The prevalence of pelvic organ prolapse at 6-8 weeks postpartum after 2016 is significantly lower than that before 2016, but it is still as high as 29.8%, which should be highly concerned by parturients, hospitals and society. In order to care for postpartum women and help postpartum scientific rehabilitation, appropriate preventive measures should be taken.

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更新日期/Last Update: 1900-01-01