Tian Tian, Feng Huiyan, Liao Xiaoqian, Su Qiling, Li Yunhui, Li Xiaomao
Department of Gynecology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Front Med (Lausanne). 2022 Apr 15;9:746668. doi: 10.3389/fmed.2022.746668. eCollection 2022.
Induced abortion is a universal phenomenon and about 25% of pregnancies in the world end in induced abortion. Induced abortion refers to the use of artificial or drug methods to terminate the pregnancy in the early stage of pregnancy, which is a remedy for failed contraception and accidental pregnancy. Induced abortion means surgical abortion. There are two commonly used methods: negative pressure suction abortion and forceps curettage for induced abortion. Abortion is invasive and it will cause great harm to women's reproductive function. Clinically, there are also cases of re-pregnancy within 3 months after abortion or even re-pregnancy without recovery of menstruation. To improve symptoms and reduce these complications, antibiotics, motherwort, and Yasmin[Ethinylestradiol-Drospirenone (0.03/3 mg)] are clinically used alone or in combination after induced abortion.
Data were collected from six databases, including three English databases of Cochrane Library, PubMed and Embase, and three Chinese databases of CNKI, Wanfang, and Weipu. The original indicators of vaginal bleeding, menstrual recovery time, bleeding time, endometrial thickness 21 days after surgery and so on were included, and the incidence of postoperative bleeding less than menstrual volume, menstrual re-fluid time ≤ 37 days, bleeding time ≤ 7 days, re-pregnancy without menstruation, re-pregnancy within 3 months after the operation, the total incidence of postoperative complications were based on the ratio of the number of events in the group to the total number of people in the group reported in the literature. Review Manager 5.4 software was downloaded from the Cochrane website to evaluate the quality of the literature and analyze the results using random or fixed-effects models. The outcome of index data is divided into two types, one is dichotomy, and the other is measurement data. The binary data is expressed by odds ratio (OR), and the measurement data is expressed by mean difference (MD), and the confidence interval of both is 95%.
After completing this meta-analysis, the results will be available.
The results will provide reliable data basis for the value of Yasmin combined with antibiotics and Motherwort in postoperative induced abortion.
CRD42021246764.
人工流产是一种普遍现象,全球约25%的妊娠以人工流产告终。人工流产是指在妊娠早期采用人工或药物方法终止妊娠,是避孕失败和意外妊娠的补救措施。人工流产即手术流产。常用的方法有两种:负压吸引人工流产术和钳刮人工流产术。流产具有侵入性,会对女性生殖功能造成极大伤害。临床上也有流产后3个月内再次妊娠甚至月经未恢复就再次妊娠的情况。为改善症状并减少这些并发症,临床上人工流产术后单独或联合使用抗生素、益母草和优思明[炔雌醇-屈螺酮(0.03/3mg)]。
从六个数据库收集数据,包括三个英文数据库Cochrane图书馆、PubMed和Embase,以及三个中文数据库知网、万方和维普。纳入阴道出血、月经恢复时间、出血时间、术后21天子宫内膜厚度等原始指标,术后出血量少于月经量、月经复潮时间≤37天、出血时间≤7天、闭经后再次妊娠、术后3个月内再次妊娠、术后并发症总发生率等指标基于文献报道的组内事件数与组内总人数的比值。从Cochrane网站下载Review Manager 5.4软件评估文献质量,并采用随机或固定效应模型分析结果。指标数据的结局分为两类,一类是二分类,另一类是计量资料。二分类数据用比值比(OR)表示,计量资料用均数差(MD)表示,两者的置信区间均为95%。
完成本荟萃分析后将得出结果。
结果将为优思明联合抗生素和益母草在人工流产术后的应用价值提供可靠的数据依据。
CRD42021246764。