摘要
目的:通过对社会心理中的压力因素和行为风险中的被动吸烟因素与不良妊娠结局的相关性进行系统评价,为预防不良妊娠结局提供理论依据。方法:计算机检索中国知网期刊全文数据库(CNKI)、中国医学科学院的CMB、中文生物医学期刊数据库(CMCC)、中国医学学术会议论文数据库(CMAC)、维普中文科技期刊数据库、水木搜索和万方等数据库,收集国内近10年孕妇社会心理压力和被动吸烟与不良妊娠结局相关的病例对照研究成果,依照文献的纳入与排除标准完成文章筛选、资料提取与质量评价,使用RevMan5.3软件进行meta分析,计算出比值比(OR)及其95%可信区间(95%CI)和概率的大小。结果:心理压力(OR为1.44,95%CI为0.80~2.58,P<0.0001)、被动吸烟(OR为2.10,95%CI为1.51~2.91,P=0.0003)均与不良妊娠结局的发生存在相关性。结论:meta分析显示社会心理压力和被动吸烟是不良妊娠结局的高危因素。
Objective：To provide a theoretical basis for preventing adverse pregnancy outcomes by systematm evalua- tion of the correlation between social psychological or behavioral risks such as passive smoking and adverse pregnancy outcomes. Methods~ Database included Chinese National Knowledge Infrastructure （CNKI）, Chinese academy of medi- cal sciences of （CMB）, Chinese journal of biomedical database （CMCC）, Chinese medicine academic conference papers database （CMAC）, Vipu Chinese Sci-tech Journals Database, Mizuki Search and Wanfang were searched. And case- control studies about domestic pregnant women social psychological stress or passive smoking related to adverse preg- nant outcomes were collected. In accordance with the literature inclusion and exclusion criteria, the article screening , data extraction and quality evaluation were conducted, and then the odds ratio （OR）, its 95~ confidence interval （95 % CI） and the size of the probability were calculated by RevMan5.3 software. Results.. The psychological stress （OR 1.44, 95% CI 0.80N2.58, P^0.0001） or passive smoking （OR 2.10, 95% CI 1.51N2.91, P=0.0003） was a correlation factor for adverse pregnancy outcomes. Conclusion： Meta analysis shows that both psychosocial stress and passive smoking are high risk factors for adverse pregnancy outcomes.
作者
陈钿
徐继红
孙沛
CHEN Dian XU Jihong SUN Pei(Tsinghua University, Beijing, 100084 National Research Institute for Family Planning)
出处
《中国计划生育学杂志》
2017年第7期438-443,共6页
Chinese Journal of Family Planning
