2012～2014年7794例高危及危重孕产妇救治管理与分析  

Management and analysis of 7794 cases with high risk pregnancy and critically ill pregnancy in 2012-2014

作　　者：邹郁松[1] 路军丽[2] 丁小英[2] 何鑫[2] 纪丽娟[3] 王燕庆[3] 陈阳育[1] 李晓北[1] 

机构地区：[1]首都医科大学附属北京朝阳医院医务部,北京100020 [2]首都医科大学附属北京朝阳医院妇产科,北京100020 [3]首都医科大学附属北京朝阳医院统计室,北京100020

出　　处：《中国医药导报》2015年第28期59-62,共4页China Medical Herald

摘　　要：目的为保障母婴安康,降低孕产妇死亡率,提高高危及危重孕产妇救治成效提供科学依据。方法选择2012年1月-2014年12月首都医科大学附属北京朝阳医院收治的7794例高危及危重孕产妇病例为研究对象,对数量、年龄、平均住院日、总费用、高危因素分类、危重疾病病种及其发病率等指标采用描述性统计分析方法进行分析。结果高危妊娠发生率为74.88%,危重孕产妇占3.40%。位居前五位的高危因素分别是：胎膜早破（14.55%）、妊娠合并糖尿病（13.50%）、胎儿宫内窘迫（10.33%）、羊水过多/过少（6.68%）、先兆早产/流产（5.39%）,位居前五位的危重疾病为重度子痫前期和/或子痫（59.25%）、妊娠合并心脏病（16.98%）、胎盘早剥和子宫破裂（9.81%）、HELLP综合征（4.15%）、急性重症胰腺炎（3.77%）。结论加强孕期保健与监护,重视高危及危重孕产妇管理,可有效避免由高危转为危重,有效地降低孕产妇死亡率。Objective To protect the maternal and newborn safe and healthy, reduce maternal mortality, and improve the effectiveness of the treatment of the high risk pregnant women and the critically ill pregnant women. Methods 7794 cases with high risk pregnancy and critically ill pregnancy from January 2012 to December 2014 in Beijing Chao-Yang Hospital, Capital Medical University were selected as the research objects. Descriptive statistical analysis method was used in this study, research index including： the number, age, average length of stay, total cost, high risk factors and the incidence of the disease, etc. Results High risk pregnancy rate was 74.88%, and the critical maternal accounted for3.40%. Premature rupture of membranes（14.55%）, gestational diabetes mellitus（13.50%）, fetal distress（10.33%）, hydramnios/oligohydramnios（6.68%）, threatened preterm labor/abortion（5.39%） were the top five risk factors. Severe preeclampsia and/or eclampsia（59.25%）, pregnancy complicated with heart disease（16.98%）, placental placental and uterine rupture（9.81%）, HELLP syndrome（4.15%）, severe acute pancreatitis（3.77%） were the top five serious diseases. Conclusion Strengthen the pregnancy care and monitoring, and pay attention to the management of high risk pregnant women, can avoid the high risk to the critical, and reduce maternal mortality effectively.

关 键 词：妇幼卫生 高危妊娠 危重孕产妇 孕产妇管理 

分 类 号：R17[医药卫生—妇幼卫生保健]