2015-2018年贵阳市危重孕产妇监测数据分析  

Analysis on monitoring data of maternal near miss in Guiyang from 2015 to 2018

作　　者：黎梅[1] 贾洁 刘金英 项燕 郑丹[1] LI Mei;JIA Jie;LIU Jin-Ying(Guiyang Municipal Maternal and Child Health Care Hospital,Guiyang,Guizhou 550003,China)

机构地区：[1]贵阳市妇幼保健院,贵州贵阳550003

出　　处：《中国妇幼保健》2021年第7期1649-1653,共5页Maternal and Child Health Care of China

基　　金：贵州省卫生计生委科学技术基金项目(gzwjkj2018-1-080)。

摘　　要：目的探讨贵阳市2015-2018年妊娠期合并症/并发症发病率、孕产妇危重症发生率的变化。方法分析2015-2018年贵阳市4家危重孕产妇(MNM)监测医院的监测数据采用Logistics回归模型,调整混杂因素,估计经产妇的妊娠期合并症/并发症的发生风险。结果贵阳市2015-2018年MNM监测例数分别是19169例、22297例、28220例、30792例,合计101478例;新生儿活产数分别是18202例,22117例,27107例,共计67426例。经产妇比例由43.19%升高至56.17%;与初产妇相比,经产妇的孕产妇危重症、流产相关出血、异位妊娠、子宫破裂、前置胎盘、宫缩乏力、胎盘滞留、产后出血、产褥感染、上呼吸道感染及贫血(P<0.05);妊娠期合并症/并发症总体发病率由65.41%增长至84.22%,前置胎盘、胎盘早剥、软产道撕伤、泌尿系统感染、血栓性静脉炎、重度子痫前期、肝病、贫血、糖尿病、肾病及肺病的发病率呈增长趋势(P<0.05);异位妊娠、宫缩乏力、产后出血、上呼吸道感染及其他系统感染/脓毒症(P<0.05);3年来孕产妇危重症发生率分别是10.74‰、10.72‰、9.74‰及16.13‰,呈现增长或下降趋势(P>0.05)。结论2015-2018年经产妇比例、部分妊娠期合并症/并发症发病率不断增长,建议有针对性的管理经产妇,预防和减少妊娠期合并症/并发症。Objective To explore the changes of incidence rates of pregnancy complications and maternal near miss in Guiyang from2015 to 2018.Methods The monitoring data of four maternal near miss(MNM)monitoring hospitals in Guiyang from 2015 to 2018 were analyzed,Logistic regression model was used to analyze the results,after adjusting confounding factors,the risk of pregnancy complications in multiparous women was evaluated.Results The monitoring numbers of MNM in Guiyang from 2015 to 2018 were 19169,22297,28220,and 30792,respectively,the total number was 101478.The numbers of alive neonates were 18202,22117,and 27107,respectively,the total number was 67426.The proportion of multiparous women increased from 43.19%to 56.17%.Compared with primiparous women,the risks of critical cases,abortion-related hemorrhage,ectopic pregnancy,uterine rupture,placenta previa,uterine inertia,placental retention,postpartum hemorrhage,puerperal infection,upper respiratory tract infection,and anemia of multiparous women increased(P<0.05),the total incidence rate of pregnancy complications increased from 65.41%to 84.22%,the incidence rates of placenta previa,placental abruption,soft birth canal injury,urinary system infection,thrombophlebitis,severe preeclampsia,hepatopathy,anemia,diabetes,nephropathy,and pulmonary disease increased(P<0.05),the incidence rates of ectopic pregnancy,uterine inertia,postpartum hemorrhage,upper respiratory tract infection,and other system infection/pyohemia decreased(P<0.05);the incidence rate of maternal near miss from 2015 to 2018 were 10.74‰,10.72‰,9.74‰,and 16.13‰,respectively.Conclusion From 2015 to 2018,the proportion of multiparous women and the incidence rate of partial pregnancy complications increased gradually,the multiparous women should be managed correspondingly to prevent and reduce pregnancy complications.

关 键 词：经产妇 妊娠期并发症 妊娠期合并症 危重孕产妇 

分 类 号：R714.2[医药卫生—妇产科学]