680例高危孕妇的筛查与系统管理分析  

Analysis of screening and system management of 680 cases of high-risk pregnant women

作　　者：万蕴华 刘丽红[1] 江白玲[1] 邹惠英[1] 吴洁[1] 潘娇娇[1] 

机构地区：[1]深圳市龙岗区人民医院预防保健科,深圳518172

出　　处：《中国当代医药》2015年第19期164-166,169,共4页China Modern Medicine

摘　　要：目的通过筛查高危妊娠人群,分析高危孕妇的危险因素,并通过监测与管理,以减少高危孕产妇和围生儿的并发症及死亡率。方法对2013年10月~2014年9月在本院建档检查的1631例孕妇进行系统的检查,筛查出高危孕妇,并建立高危妊娠档案进行监测及系统管理。结果筛查出高危妊娠者680例,占41.69%,前5位高危因素依次为瘢痕子宫（31.76%）、年龄因素（16.62%）、产前出血（12.06%）、妊娠期合并糖尿病及甲状腺疾病（8.68%）、妊娠合并高血压疾病（7.06%）,动态高危因素的好转率为57%~67%。结论妊娠期间需要及时、多次对孕产妇进行高危筛查,并进行系统的分析与管理,以降低高危因素、保障母婴安全。Objective To analyze the monitor and manage of risk factors in high-risk pregnant women by screening the high-risk pregnancy crowd,and reduce the complications and mortality of maternal and perinatal, Methods 1631 pregnant women inspected in our hospital from October 2013 to September 2014 were checked and screened systematically, for screening out the high-risk pregnant women.The documents of high-risk pregnancy was established,the pregnant women were monitored and managed. Results 680 （41.69%） high-risk pregnant women were screened out.The top 5 high risk factors was uterine scar（31.76%）,age（16.62%）,antepartum hemorrhage（12.06%）,pregnancyassociated with diabetes,thyroid disease （8.6g%）andgestational hypertensiondisease （7.06%）.The improvement rates of dynamic risk factors was 57%-67%. Conclusion Pregnant women should be screened timely for high risk fators for many times during pregnancy.Analyzing and managing the high-risk pregnant women systematically can reduce the high risk factors and ensure the safety of maternal and infant.

关 键 词：高危孕妇 妊娠 筛查 系统管理 

分 类 号：R173[医药卫生—妇幼卫生保健]