全身炎症反应综合征评分应用于产科急危重症患者中的效果评价  

Evaluation of critically ill pregnant patients using systemic inflammatory response syndrome score

作　　者：袁菲菲 钱丹 顾馨 姜武佳 YUAN Feifei;QIAN Dan;GU Xin;JIANG Wujia(Obstetrics Department,Wuxi People′s Hospital Affiliated to Nanjing Medical University,Wuxi 214000,China)

机构地区：[1]南京医科大学附属无锡人民医院产科,江苏无锡214000

出　　处：《中国临床护理》2020年第6期536-538,共3页Chinese Clinical Nursing

摘　　要：目的探究全身炎症反应综合征(systemic inflammatory response syndrome,SIRS)评分应用于产科急危重症患者中的效果。方法选取我院2016年10月-2018年10月收治的产科急危重症患者134例,按照随机数表法将其分为对照组和观察组,各67例,对照组给予常规干预,观察组采用SIRS评分干预。比较2组不良妊娠结局、并发症发生率及围生儿死亡率。结果干预后观察组不良妊娠结局发生率及并发症发生率均低于对照组(χ^2=4.968,P=0.026;χ^2=3.890,P=0.049);2组围生儿死亡率比较,差异无统计学意义(χ^2=3.890,P=0.049)。结论SIRS评分应用于产科急危重症患者中,可改善患者的不良妊娠结局,降低并发症发生率,值得推广。Objective To explore the effect of evaluating critically ill pregnant patients using the systemic inflammatory response syndrome(SIRS)score.Methods Totally 134 critically ill pregnant patients admitted to our hospital between October 2016 and October 2018 were divided into an observation group and a control group,each of 67,according to a random number table.The control group was given routine intervention,while the observation group was given intervention based on the SIRS score.The adverse pregnancy outcome,complication occurrence and perinatal mortality were compared between the two groups.Results After the intervention,the adverse pregnancy outcome and complication occurrence of the observation group were significantly lower than those of the control group(χ^2=4.968,P=0.026;χ^2=3.890,P=0.049).However,no significant differences were found between the two groups in the perinatal mortality(χ^2=3.890,P=0.049).Conclusion The application of SIRS score in obstetric critical patients can decrease the adverse pregnancy outcomes,incidence of complications and perinatal mortality.Therefore,it is worth of promoting in the clinical practice.

关 键 词：SIRS评分 产科 急危重症 不良妊娠结局 围生儿死亡率 

分 类 号：R47[医药卫生—护理学]