Hofmeyr G J, Kulier R
Department of Obstetrics and Gynaecology, Coronation Hospital and University of the Witwatersrand, 7 York Road, Parktown 2193, Johannesburg, South Africa.
Cochrane Database Syst Rev. 2000(2):CD001062. doi: 10.1002/14651858.CD001062.
Abdominal decompression was developed as a means of pain relief during labour. It has also been used for complications of pregnancy, and in healthy pregnant women in an attempt to improve fetal wellbeing and intellectual development.
The objective of this review was to assess the effects of prophylactic abdominal decompression on admission for pre-eclampsia, fetal growth, perinatal morbidity and mortality and childhood development.
The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were searched. Date of last search: February 1999.
Randomised trials comparing abdominal decompression with dummy decompression or no treatment in healthy pregnant women.
Eligibility and trial quality were assessed by one reviewer.
Three studies were included. There was no difference between the abdominal decompression groups and the control groups for low birth weight (relative risk 0.69, 95% confidence interval 0.27 to 1.77) and perinatal mortality (relative risk 2.47, 95% confidence interval 0.77 to 7.92). There were no differences in admission for pre-eclampsia, Apgar score and childhood development.
REVIEWER'S CONCLUSIONS: There is no evidence to support the use of abdominal decompression in normal pregnancies. Future research should be directed towards the use of abdominal decompression during labour, and during complicated pregnancies.
腹部减压最初是作为分娩时缓解疼痛的一种方法而发展起来的。它也被用于妊娠并发症，以及健康孕妇，试图改善胎儿健康和智力发育。
本综述的目的是评估预防性腹部减压对先兆子痫入院、胎儿生长、围产期发病率和死亡率以及儿童发育的影响。
检索了Cochrane妊娠与分娩组试验注册库和Cochrane对照试验注册库。最后检索日期：1999年2月。
比较腹部减压与假减压或对健康孕妇不进行治疗的随机试验。
由一名评价者评估研究的合格性和试验质量。
纳入了三项研究。腹部减压组与对照组在低出生体重（相对危险度0.69，95%可信区间0.27至1.77）和围产期死亡率（相对危险度2.47，95%可信区间0.77至7.92）方面没有差异。在先兆子痫入院、阿氏评分和儿童发育方面也没有差异。
没有证据支持在正常妊娠中使用腹部减压。未来的研究应针对分娩期间和复杂妊娠期间腹部减压的使用。
