保定市8990例孕产妇孕产期合并（并发）症监测情况分析  

Pregnancy with complications：An analysis of 8990 cases in Baoding City

作　　者：杜宝琴 宋兰萍[1] 王欲琦[1] 张雯[1] 张英[1] 

机构地区：[1]保定市妇幼保健院保健科,河北保定071000

出　　处：《中国生育健康杂志》2014年第4期301-304,共4页Chinese Journal of Reproductive Health

摘　　要：目的：观察保定市孕产妇孕产期合并（并发）症发生动态，为最大限度降低本市孕产妇不良妊娠结局提供科学依据。方法对河北省卫生厅在本市确定的5所医院，使用国家监测办公室统一制定的调查表，对所有住院孕产妇进行合并（并发）症监测，了解其与年龄、居住地的发病规律，并对孕产期合并症就诊医院与不良妊娠结局进行分析。结果共监测8990例孕产妇，孕产期合并（并发）症患病率为13.1％，共26种疾病；城区和农村患病率为3.6％和9.5％；对妊娠结局影响较大的前5位疾病依次为妊娠期高血压疾病（4.6％）、贫血（3.0％）、异位妊娠（0.9％）、糖尿病（0.8％）和产后出血（0.6％），前5位合并症发生年龄以≤20岁组（20.7％）和大于35岁组（19.1％）为高发年龄段；不良妊娠结局患病率为2.5％，前5位合并症发生率52.3％，其他合并症发生率为8.1％。结论贯彻落实国家重大公共卫生妇幼卫生服务实施方案，多部门协管、健全医疗保健系统服务网络；市县两级卫生行政部门针对临床保健薄弱环节制定切实提高合并症防治措施，达到降低孕产期合并症及不良妊娠结局发生，提高母婴健康水平的目的。Objective To characterize the complications during pregnancy in women in Baoding City. Methods Five birthing hospitals participated in this survey.Subjects included pregnant women administered to these hospitals during September 30,2010 through September 30,2011.Questionnaires were used to collect information on complications and other variables.Prevalence of a specific complication was calculated. Results A total of 8 990 pregnant women were included.Twenty-six types of complications were recorded with a prevalence rate of 13.1%for any complication.Overall, 3.6% of women living in cities had complications,and this proportion was 9.5%for women living in rural areas.The five top complications included gestational hypertension （4.6%）,anemia （3.0%）,ectopic pregnancy （0.8%）,diabetes （0.8%）,and postpartum hemorrhage （0.6%）.Women younger than 20 years of age （20.7%）and women older than 35 years of age （19.1%）had higher prevalence.Adverse pregnancy outcomes were observed in 2.5% of these women. Conclusion Implementation of the state ’s key maternal and child health services, multi-sectorial coordination, improvement in the health care system and service network are important measures in reducing maternal complications and adverse pregnancy outcomes.

关 键 词：孕产妇 合并症 并发症 发病率 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]