我国妊娠人群产后创伤后应激障碍患病率的Meta分析

Meta analysis of the incidence of postpartum post-traumatic stress disorder in pregnant women in China

目的:系统评价中国妊娠人群产后创伤后应激障碍患病率。方法:计算机检索中国期刊全文数据库(CNKI)、万方数据知识服务平台、中国生物医学文献服务系统(SinoMed)、PubMed、Web of Science、The Cochrane Library等数据库,检索中国妊娠人群产后创伤后应激障碍患病率的相关文献,检索时间从建立数据库至2022年7月8日。由2名研究者独立筛选文献、提取相关资料,在评价纳入研究的偏倚风险后,采用R 4.1.1软件进行Meta分析。结果:共纳入16项研究,包括1054例产后创伤后应激障碍患者。Meta分析显示,妊娠人群产后创伤后应激障碍患病率为10%(95%CI 7%~13%);在早产或过期产的产后人群中,创伤后应激障碍患病率为21%(95%CI 7%~35%)。结论:中国妊娠人群产后创伤后应激障碍患病率较高,尤其是高危人群。建议产前及早发现高危人群,进行适当护理干预,改善产妇心理健康状态。

Objective:To systematically evaluate the incidence of postpartum post-traumatic stress disorder in Chinese pregnant population.Methods:The databases including China National Knowledge Infrastructure(CNKI),Wanfang Data,SinoMed,PubMed,Web of Science,The Cochrane Library and other databases were searched from inception to July 8,2022 to extract the data on the incidence of postpartum post-traumatic stress disorder in Chinese pregnant population.Two researchers screened the literature,analyzed these data,and evaluated the bias risk independently.R 4.1.1 software was used for Meta analysis.Results:A total of 16 studies were included,including 1054 patients with post-traumatic stress disorder.Meta analysis showed that the incidence of post-traumatic stress disorder was 10%(95%CI 7%-13%)in the postpartum population.The prevalence of post-traumatic stress disorder was 21%(95%CI 7%-35%)in the postpartum population with preterm or late delivery.Conclusion:The prevalence of post-traumatic stress disorder in Chinese pregnant population is high,especially in high-risk groups.It is recommended that high-risk groups should be identified early before delivery,and appropriate nursing interventions should be carried out to improve maternal mental health.