中国人群先天性心脏病发病母体因素的Meta分析
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女,硕士在读,学生

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国家自然科学基金资助项目(81400072);山东省自然科学基金资助项目(ZR2013HQ047)


Maternal factors of congenital heart diseases in Chinese population:a Meta-analysis
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    摘要:

    目的 探讨中国人群先天性心脏病(CHD)发病的母体相关影响因素,以期为中国人群 CHD 的预防以及病因学研究提供理 论依据。方法 计算机检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase以及 WebofScience数据库自建库 至2018年4月发表的所有相关文献,并辅以手工检索以及文献追溯,进行文献筛选、质量评价及资料提取后,使用Stata14.0软件 进行 Meta分析。结果 共纳入52篇文献,均为病例对照研究,累计病例14891例,对照19824例。各影响因素的合并 OR 值及 95%CI 分别为:孕期感冒3.11(2.39,4.04)、孕期用药2.68(2.32,3.10)、孕期接触有害化学物质3.59(2.41,5.36)、孕期感染 3.02(2.29,3.99)、不良妊娠史2.08(1.77,2.44)、孕期受精神刺激3.64(2.42,5.48)、孕期被动吸烟2.91(1.91,4.42)、补充叶酸 0.50(0.43,0.59)、补充维生素及微量元素0.45(0.36,0.58)、妊娠合并症3.50(2.48,4.94)、孕期接触噪声3.19(2.37,4.29)。结 论 孕期感冒、孕期用药、孕期接触有害化学物质、孕期感染、不良妊娠史、孕期受精神刺激、孕期被动吸烟、妊娠合并症、孕期接触 噪声为中国人群 CHD发病的危险因素,补充叶酸、补充维生素及微量元素为 CHD发病的保护性因素。

    Abstract:

    Objective To explore the maternal factors relevant to the occurrence of congenital heart disease (CHD) in Chinese population, and to provide evidence for the etiology study and the prevention of CHD. Methods A computerized literature search was conducted in CNKI, VIP, Wanfang, CBM, PubMed, Embase and Web of science databases from their inception to April, 2018 to collect relevant studies.Then more studies were retrieved and traced manually.After literature screening,quality appraisal,and data extraction, Meta-analysis was conducted using Stata 14.0. Results A total of 52 case-control studies involving 14891 cases and 19824 controls were included.Meta-analysis showed that the major maternal factors of CHD in Chinese population were as follows:catching a cold during pregnancy(OR=3.11,95%CI2.39-4.04), medication use during pregnancy(OR=2.68,95%CI2.32-3.10), exposure to toxic chemicals during pregnancy(OR=3.59,95%CI2.41-5.36),infection during pregnancy(OR=3.02,95%CI2.29-3.99), abnormal childbearing history(OR=2.08,95%CI1.77-2.44), mental stimulation during pregnancy(OR=3.64,95%CI2.42-5.48), passive smoking during pregnancy(OR=2.91,95%CI1.91-4.42), and periconceptional folic acid supplementation(OR=0.50,95%CI0.43-0.59), periconceptional vitamin and trace elements supplementation(OR=0.45,95%CI0.36-0.58), pregnancy comorbidities(OR=3.50,95%CI2.48-4.94), exposure to noises(OR=3.19,95%CI2.37-4.29). Conclusion Maternal cold, medication use, exposure to chemical toxic substances, infection, abnormal childbearing history, mental stimulation, passive smoking, pregnancy comorbidities, exposure to noises during pregnancy are the risk factors of CHD in Chinese population, while periconceptional folic acid, vitamin and trace elements supplementation, are the protective factors of CHD.

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姜迪,王丽雯,白晨晓,陈欧.中国人群先天性心脏病发病母体因素的Meta分析[J].护理学杂志,2019,34(3):36-41

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  • 收稿日期:2018-09-02
  • 最后修改日期:2018-11-10
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  • 在线发布日期: 2022-08-09