我国孕妇妊娠期体质量管理与妊娠结局关系的Meta分析

贾惠惠; 谢志红

doi:10.13898/j.cnki.issn.1000-2200.2015.05.024

我国孕妇妊娠期体质量管理与妊娠结局关系的Meta分析

The analysis of the relationship between gestational weight management and pregnancy outcome

摘要

摘要: 目的:探讨妊娠期体质量管理与不良妊娠结局的关系。方法:检索2004~2014年万方数据库、中国知网及维普数据库等有关妊娠期体质量管理与妊娠结局关系的研究,并采用RevMan5.0对此进行综合定量分析。结果:经检索筛查后纳入有关妊娠期体质量管理与妊娠结局关系的文献14篇,经异质性检验,均采用固定效应模式进行定量分析,结果显示,妊娠期体质量管理可减少剖宫产、巨大儿、妊娠期高血压疾病、妊娠期糖尿病的发生,OR值依次为0.53(95%CI:0.46,0.61)、0.29(95%CI:0.23,0.36)、0.43(95%CI:0.33,0.58)、0.29(95%CI:0.21,0.40)。结论:妊娠期体质量管理可有效降低剖宫产、巨大儿、妊娠期高血压疾病、妊娠期糖尿病的发生。

Abstract: Objective: To investigate the relationship between gestational weight management and pregnancy outcome.Methods: The study of the relationship between gestational weight management and pregnancy outcome from 2004 to 2014 in CNKI,VIP database and wanfang database were searched,which was comprehensively quantitative analyzed using RevMan 5.0 version.Results: Fourteen articles about the relationship between gestational weight management and pregnancy outcome were heterogeneity tested and quantitatively analyzed using the fixed-effect model.The results showed that the gestational weight management can reduced the cesarean section,macrosomia and incidence of the gestational hypertensive disorders and diabetes.The OR value were 0.53(95%CI:0.46,0.61),0.29(95%CI:0.23,0.36) and 0.43(95%CI:0.33,0.58)and 0.29(95%CI:0.21,0.40) in turn.Conclusions: The gestational weight management can effectively reduced the cesarean section,macrosomia,and the incidence of the gestational hypertensive disorders and diabetes.

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