作　　者： (宫尚群）; (范银萍）; (李璐琪）; (孟繁洁）;

机构地区： 天津中医药大学研究生院,天津300193

出　　处： 《中国循证医学杂志》 2017年第9期1037-1042,共6页

摘　　要： 目的系统评价导乐分娩对产妇产后抑郁情况的影响。方法计算机检索The Cochrane Library、Web of Science、Pub Med、EMbase、CBM、CNKI和Wan Fang Data数据库,搜集导乐分娩对产妇产后抑郁影响的随机对照试验(RCT),检索时限均从建库至2017年3月24日。由2名研究员独立筛选文献、提取数据并评价纳入研究的偏倚风险后,采用Rev Man 5.3软件进行Meta分析。结果共纳入19个RCT,包含10 921例产妇。Meta分析结果显示:导乐分娩组的产后抑郁发生率明显低于对照组[RR=0.36,95%CI(0.29,0.46),P<0.001],两组差异有统计学意义。此外,抑郁自评量表评分结果亦表明导乐分娩组优于对照组[MD=–7.37,95%CI(–11.01,–3.72),P<0.001],其差异有统计学意义。结论现有证据显示导乐分娩有利于减少产妇产后抑郁情况。受纳入研究数量和质量的限制,上述结论尚需更多高质量研究予以证实。 Objective To systematically review the effect ofdoula delivery on postpartum depression. Methods We searched The Cochrane Library, Web of Science, PubMed, EMbase, CBM, CNKI and WanFang Data databases to collect relevant randomized controlled trials （RCTs） about the effect of doula delivery on postpartum depression from inception to March 24th, 2017. Two reviewers independently screened literatures, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.3 software. Results A total of 19 RCTs involving 10 921 participants were included. The results of meta-analysis showed that the doula delivery could reduce the incidence of postpartum depression （RR=0.36, 95%CI 0.29 to 0.46, P〈0.001）, and SDS score in doula delivery group was superior to that in the control group （MD=-7.37, 95%CI -11.01 to -3.72, P〈0.001）. Conclusion The current evidence shows that doula delivery can reduce the incidence of postpartum depression. Due to the limited quantity and quality of included studies, the above conclusion is still needed to be verified by more high quality studies.

关 键 词： 导乐分娩 抑郁 分析 随机对照试验 抑郁自评量表 系统评价