未婚妇女药物流产与手术流产心理健康状况比较的meta分析

Effects of medical abortion and surgical abortion on psychological situation among unmarried women

目的:对比分析药物流产与手术流产后未婚妇女的心理健康状况。方法:检索MEDLINE、EMBASE、Cochrane Library、CMCC/CMAC、CBM、CNKI、VIP、万方等8个医学数据库,手工检索12种相关杂志,并追查参考文献。由2位评价员独立筛选、评价文献和提取数据。应用RevMan 5.0.1软件对2011年以前发表的符合纳入标准的相关文献进行汇总分析。结果:未婚妇女使用药物流产与手术流产,在躯体化因子得分、总分、阳性总均分、阳性症状均分以及阳性项目数等方面均有统计学差异(P<0.05),其他各因子得分两组妇女无统计学差异。结论:与手术流产相比,药物流产对未婚妇女心理健康的影响较小。

Objective ： To explore the effects of medical abortion and surgical abortion on the psychological situation among un- married women. Methods： Eight medical databases （MEDLINE, EMBASE, Cochrane Library, CMCC/CMAC, CBM, CNKI, VIP and Wanfang） and 12 relative journals were searched. References of included studies were reviewed additionally. Two qualified reviewers reviewed original articles, evaluated qualities of articles, and extracted data independently. After a hetero- geneity test, data were pooled using Revman software or underwent descriptive analysis. Results ： There were significant differ- ences in SCL -90 somatization score, SCL -90 total score, the general symptomatic index, the positive symptom distress lev- el, the number of positive items between medical abortion group and surgical abortion group （P all 〈 0.05 ）. There were no significant differences in other indicators between the two groups. Conclusion： In comparison with surgical abortion, medical abortion has less harmful effects on the psychological situation of unmarried women.