2011-2018年克拉玛依市人民医院产科质量分析  

Analysis of Obstetrics quality inKaramay People’s Hospital from 2011 to 2018

作　　者：杨静 董月莲[2] YANG Jing;DONG Yue Lian(Karamay People’s Hospita,Karamay 834000,China;Centers for Disease Control and Prevention of Karamay,Karamay 834000,China)

机构地区：[1]新疆维吾尔自治区克拉玛依市人民医院,834000 [2]新疆维吾尔自治区克拉玛依市疾病预防控制中心妇幼保健所,834000

出　　处：《中国妇幼卫生杂志》2020年第2期9-13,共5页Chinese Journal of Women and Children Health

摘　　要：目的对2011-2018年克拉玛依市人民医院产科质量相关指标进行分析,了解克拉玛依市人民医院产科服务水平,为提高服务质量提供依据。方法对2011-2018年克拉玛依市人民医院产科质量报表相关指标进行统计分析。结果8年间平均剖宫产率48.68%,自然分娩率为51.29%,2011-2016年剖宫产率呈现逐年下降,自然分娩率逐年上升。随着二孩政策的放开,2017年剖宫产率呈反弹上升趋势,自然分娩率下降。8年来巨大儿发生率12.06%,呈下降趋势;出生窒息发生率2.22%,呈上升趋势;新生儿遗传代谢性疾病筛查率为76.75%,新生儿听力筛查率为77.3%,均呈逐年上升趋势;围产儿死亡率0.46‰,呈下降趋势;产后出血是产妇分娩的主要并发症,呈上升趋势。统计学分析表明,差异均具有统计学意义(P<0.05)。结论克拉玛依市人民医院产科质量情况总体向好,需采取有力措施控制非医学指征的剖宫产率、低出生体重及产后出血的发生,提高新生儿复苏技术,进一步提高克拉玛依市人民医院产科质量。Objective Through analyzing the indicators and data from 2011-2018 of obstetrical quality in Karamay People’s Hospital,in order to reflect the obstetrical service level and to provide basis for the improvement of service quality.Method The related indicators and data from 2011~2018 in the obstetrics department of Karamay People’s Hospital were statistically analyzed.Result In the last 8 years,the average rate of cesarean section was 48.68%.The rate of natural delivery rate was 51.29%.From 2011 to 2016,the average rate of caesarean section decreased,while the natural delivery rate increased year by year.However,with the opening of the two-child policy,the cesarean section rate rebounded and the natural delivery rate decreased in 2017.From 2011 to 2018,the incidence of macrosomia declined to 12.06%and the birth asphyxia rate increased to 2.22%.The screening rate of neonatal genetic metabolic diseases was 76.75%,and the neonatal hearing screening rate was 77.3%,which showed an upward trend year by year.The perinatal mortality rate was 0.46‰,showing a downward trend.The perinatal mortality rate was 0.46%,showing a downward trend.Postpartum hemorrhage is the main complication of maternal delivery Postpartum hemorrhage was the main complication of maternal delivery,showing an upward trend.Conclusion Overall,the quality in obstetric and hospital is satisfactory.It is necessary to take effective measures to control improve neonatal resuscitation technology,and further improve the quality of obstetrics in our hospital.

关 键 词：剖宫产 自然分娩 产科 

分 类 号：R197.3[医药卫生—卫生事业管理]