2017—2019年吉林省危重孕产妇医院监测结果分析  

The hospital surveillance data of the pregnant women with critical illnessin Jilin, 2017—2019

作　　者：姜停停 万立新[1] 何欢[2] 易立岩[1] JIANG Ting-ting;WAN Li-xin;HE Huan;YI Li-yan(Jilin Provincial Maternal and Child Health Hospital,Changchun,Jilin 130061,China;不详)

机构地区：[1]吉林省妇幼保健院(吉林省产科质量控制中心),长春130061 [2]吉林大学公共卫生学院

出　　处：《现代预防医学》2021年第7期1198-1201,1245,共5页Modern Preventive Medicine

摘　　要：目的分析吉林省2017—2019年危重孕产妇医院监测数据,了解主要妊娠合并症/并发症患病率和危重孕产妇发生情况,为抓准并改善孕产期服务质量薄弱环节提供理论依据。方法采用横断面调查方法,利用以医院为基础的监测系统,对13家监测医院上报的143 901例孕产妇个案资料进行统计分析,了解主要妊娠合并症或并发症患病率及变化趋势。结果全省妊娠合并症/并发症患病率为56.3%,呈上升趋势(P<0.001);危重孕产妇发生率4.58‰,呈下降趋势(P<0.001);院内孕产妇死亡率为9.03/10万,差异无统计学意义(P=0.692);直接产科因素占17.68%,间接产科因素占82.32%,直接产科因素发生比例逐渐减少,间接产科因素发生呈上升趋势(P<0.001);孕产妇患病顺位前四位为贫血、糖尿病、妊娠期高血压疾病和产科出血,分别占26.87%、10.73%、4.56%和2.98%;分娩方式以剖宫产居多,占49.9%。结论强化早孕筛查与妊娠风险评估制度落实;严格剖宫产指征,加强妊娠合并内科疾病的预防与监管,着力改进产科质量薄弱环节,是提高危重孕产妇抢救成功率的有效措施。Objective To analyze the hospital surveillance data of the maternal near miss in Jilin province from 2017 to 2019, to understand the prevalence of major pregnancy complications and the incidence of the maternal near miss, and to provide theoretical basis for grasping and improving the weak links of the service quality during the pregnant and perinatal period. Methods The cross-sectional survey method through a hospital-based monitoring system was used, and the data of 143 901 maternal cases reported by 13 monitoring hospitals were analyzed. Results The prevalence of pregnancy complications was 56.3%, showing an upward trend by year(P<0.001). The incidence of the maternal near miss was 4.58‰, showing a downward trend(P<0.001). The maternal mortality rate in-hospital was 9.03/100 000, with no significant difference(P=0.692). Direct obstetric factors accounted for 17.68% and indirect obstetric factors accounted for 82.32%, the incidence of direct obstetric factors decreased gradually, while the incidence of indirect obstetric factors increased(P<0.001). The top four diseases of the maternal illness were anemia, diabetes, hypertensive disorder complicating pregnancy and puerperal hemorrhage, accounting for 26.87%, 10.73%, 4.56% and 2.98%, respectively. Cesarean section was the most common mode of delivery, accounting for 49.9%. Conclusion Strengthening the implementation of the early pregnancy screening and the pregnancy risk assessment system, strictly controlling the indication of cesarean section, strengthening the prevention and supervision of pregnancy complicated with internal diseases, putting forth effort to improve the weak links of obstetric service quality are effective measures to improve the success rate of rescuing maternal near miss.

关 键 词：孕产妇 妊娠合并症 患病率 

分 类 号：R173[医药卫生—妇幼卫生保健]