摘要
会阴裂伤是阴道分娩常见并发症,重度会阴裂伤严重影响产妇的生活质量。目前国内尚未见会阴裂伤预防和管理的循证实践指南,本研究严格遵循《世界卫生组织指南制定手册》的方法学制定相关循证实践指南,其中系统评价按照Cochrane协作网要求进行制作,并采用推荐分级的评估、制订与评价方法作为证据质量评价及强度推荐系统。最终确定了19个临床问题,针对孕产妇阴道分娩会阴裂伤的预防和管理给出了详细的推荐意见,旨在规范阴道分娩会阴裂伤的临床实践,提高孕产妇的生活质量。
Perineal tear is a common complication of vaginal delivery and will seriously affect the quality of life of these women,if is severe.Given to there was no evidence-based clinical guideline for the prevention and management of perineal tear in China,this evidence-based guideline was developed,based on the methods of WHO handbook for guideline development.Systematic reviews were conducted according to the Cochrane handbook and GRADE was used to assess the quality and certainty of the evidence.Detailed recommendations are provided for 19 clinical questions in the prevention and management of perineal laceration,aiming to guide clinical practice and improve the quality of life of this group of women.
作者
张立力
肖霖
杨慧霞
葛龙
徐鑫芬
田金徽
阴道分娩会阴裂伤的预防与管理临床实践指南制定专家组
Zhang Lili;Xiao Lin;Yang Huixia;Ge Long;Xu Xinfen;Tian Jinhui;Expert Group of Clinical Practice Guideline for Prevention and Management of Perineal Tear during Vaginal Delivery(Evidence-Based Nursing and Midwifery Practice Center,School of Nursing,Southern Medical University,Guangzhou 510515,China;Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China;Evidence-Based Social Science Research Center,School of Public Health,Lanzhou University,Lanzhou 730099,China;Haining Branch,Women's Hospital,School of Medicine,Zhejiang University,Haining 314499,China;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730099,China;不详)
出处
《中华围产医学杂志》
CAS
CSCD
北大核心
2022年第9期643-660,721-733,共18页
Chinese Journal of Perinatal Medicine
关键词
分娩
产道
会阴
撕裂伤
诊疗准则(主题)
Labor,obstetric
Perineum
Lacerations
Practice guidelines as topic
