羊水栓塞急救技术流程的推广应用  

Popularization and application of first aid technical process of amniotic fluid embolism

作　　者：辛思明[1] 郑九生[1] 曾晓明[1] 周群[1] 王小兰[2] 熊贤海[3] 蒋冰 汤辉 刘桂荣 蔡力红 余竹平 江萍 蓝莹 付兰兰[11] XIN Siming;ZHENG Jiusheng;ZENG Xiaoming(Department of Obstetrics,Jiangxi Maternal and Child Health Hospital,Nanchang,330006,China)

机构地区：[1]江西省妇幼保健院产科,南昌330006 [2]江西省九江市妇幼保健院,九江332000 [3]江西省南昌市第一医院,南昌330006 [4]江西省南昌市第三医院,南昌330006 [5]江西省宜春市妇幼保健院,宜春336000 [6]江西省赣州市妇幼保健院,赣州341000 [7]江西省上饶市人民医院,上饶334000 [8]江西省修水县妇幼保健院,修水332400 [9]江西省上栗县妇幼保健院,上栗337009 [10]江西省于都县妇幼保健院,于都342300 [11]江西省石城县人民医院,石城342700

出　　处：《江西医药》2020年第3期229-233,共5页Jiangxi Medical Journal

基　　金：江西省科技厅项目重点科技成果转移转化计划,编号20161BBI90048。

摘　　要：目的研究羊水栓塞急救技术流程在羊水栓塞抢救中的有效性。方法选取2017年1月1日至2019年10月31日在江西省妇幼保健院、南昌市第三医院、南昌大学第三附属医院、赣州市妇幼保健院、九江市妇幼保健院、上饶市人民医院、宜春市妇幼保健院、于都县妇幼保健院、上栗县妇幼保健院、石城县人民医院及修水县妇幼保健院等11家医院产科抢救的羊水栓塞病例作为研究组,采用羊水栓塞急救技术流程进行抢救。将2014年1月1日-2016年12月31日上述11家医院抢救的羊水栓塞病例为对照组,按传统方法进行羊水栓塞抢救。比较两组研究对象的孕产妇严重产后出血率、子宫切除率、孕产妇死亡率、胎儿宫内死亡率及新生儿窒息率。结果研究组孕产妇严重产后出血率及子宫切除率、胎儿宫内死亡率高于对照组,孕产妇死亡率及新生儿窒息率低于对照组。结论羊水栓塞急救技术流程能提高羊水栓塞患者的抢救成功率,降低孕产妇死亡率及新生儿窒息率。Objective To study the effectiveness of first aid flow of amniotic fluid embolism in the rescue of amniotic fluid embolism.Methods Selected amniotic fluid embolism cases as the study group,who were rescued by amniotic fluid embolization first aid technical process in Jiangxi Maternal and Child Health Hospital,Jiangxi Jiujiang Maternal and Child Health Hospital,The First Hospital of Jiangxi Nanchang,The Third Hospital of Jiangxi Nanchang,Jiangxi Yichun Maternal and Child Health Hospital,Jiangxi Ganzhou Maternal and Child Health Hospital,People's Hospital of Jiangxi Shangrao,Jiangxi Xiushui Maternal and Child Health Hospital,Jiangxi Shangli Maternal and Child Health Hospital,Jiangxi Yudu Maternal and Child Health Hospital and People's Hospital of Jiangxi Shicheng County from January 1,2017 to October 31,2019.Taken amniotic fluid embolism cases rescued by traditional method in these ii hospitals from January 1,2014 to December 31,2016 as the control group.Then compared the rates of severe postpartum hemorrhage,uterine resection,maternal mortality,intrauterine mortality and neonatal asphyxia between the two groups.Results The rates of severe postpartum hemorrhage,hysterectomy and the intrauterine fetus in the study group were higher than the control group.While the rates of maternal mortality and neonatal asphyxia were lower.Conclusion The technical process of first aid for amniotic fluid embolism can improve the rescue success rate of patients with amniotic fluid embolism.Also it can reduce the maternal mortality and the rate of neonatal asphyxia.

关 键 词：羊水栓塞 急救技术流程 孕产妇死亡率 新生儿窒息率 

分 类 号：R714.468[医药卫生—妇产科学]