探讨如何降低急危重症孕产妇长途转运风险  

To explore how to reduce the long-distance transport risk of critical pregnant and critically ill women

作　　者：刁冬秀 陈青华 刘玉华 DIAO Dong-xiu;CHEN Qing-hua;LIU Yu-hua(Department of Emergency,Ganzhou Medical Emergency Center,Jiangxi Province,Ganzhou341000,China;Department of Digestive Infection,Ganzhou District People′s Hospital,Jiangxi Province,Ganzhou341100,China;Department of Obstetrics and Gynecology,Ganzhou District People′s Hospital,Jiangxi Province,Ganzhou341100,China)

机构地区：[1]江西省赣州市医疗急救中心急救科,江西赣州341000 [2]江西省赣州市赣县区人民医院消化感染科,江西赣州341100 [3]江西省赣州市赣县区人民医院妇产科,江西赣州341100

出　　处：《中国当代医药》2021年第23期145-148,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2020ZSF386)。

摘　　要：目的对降低急危重症孕产妇长途转运风险的措施进行分析。方法回顾性分析2016年12月—2020年12月赣州市医疗急救中心进行长途转运的60例急危重症孕产妇的临床资料,依照长途转运护理模式不同分为研究组和对照组,每组各30例。研究组患者转运途中采取干预措施,对照组患者长途转运中未采取干预措施。比较两组急危重症孕产妇转运过程中孕产妇及胎儿的并发症总发生率和不良事件发生率、病情变化率、围生儿死亡率、不良妊娠结局总发生率。结果干预后,研究组产妇转运途中的并发症和不良事件总发生率低于对照组,差异有统计学意义(P<0.05);研究组产妇转运途中的病情变化率和围生儿死亡率低于对照组,差异有统计学意义(P<0.05);研究组产妇不良妊娠结局总发生率低于对照组,差异有统计学意义(P<0.05)。结论实施干预对策有效降低急危重症孕产妇及胎儿长途转运的并发症和不良事件发生,有效降低病情变化率,并且进一步提高急危重症孕产妇的转运成功率,为救治急危重症孕产妇提供更好的转运条件,从而进一步提高急危重症孕产妇的救治率,值得临床推广。Objective To analyze the measures to reduce the risk of long-distance transport in critically ill pregnant women.Methods The clinical date of 60 cases of critical and critical pregnant women in Ganzhou Medical Emergency Center from December 2016 to December 2020 for long-distance transportation were selected as the research objects.According to the different nursing mode of long-distance transportation,they were divided into study group and control group,with 30 cases in each group.The study group took intervention measures long-distance transportation,and the control group did not take intervention measures during long-distance transportation.The incidence of complications and adverse events,the rate of disease change,the perinatal mortality rate,and the total incidence of adverse pregnancy outcomes of pregnant women and fetuses during the transfer process of the two groups of acute and critically ill pregnant women were compared between the two groups.Results The incidence of complications and adverse events in the study group was lower than that in the control group(P<0.05),and the rate of change and perinatal mortality in the study group were lower than those in the control group(P<0.05).The total incidence of adverse pregnancy in the study group was lower than that in the control group(P<0.05).Conclusion Implementing intervention countermeasures to reduce the critical patients in maternal and fetal complications of long distance transport and adverse events,and effectively reduce the disease rate of change,and further improve maternal transfer success rate of critical patients to treat the critical maternal provide better transport conditions,to further improve the cure rate of critical patients maternal,worth clinical promotion.

关 键 词：急危重症 孕产妇 长途转运风险 围生儿死亡率 不良事件发生率 

分 类 号：R71[医药卫生—妇产科学]