现代产房体系构建下提高产科质量的研究  

Study on Improving the Quality of Obstetrics Under the Construction of Modern Delivery Room System

作　　者：谢煜 陈洁 XIE Yu;CHEN Jie(Department of Gynecology and Obstetrics,Yubei District Maternal and Child Health Hospital,Chongqing 401120,China)

机构地区：[1]重庆市渝北区妇幼保健院妇产科,重庆401120

出　　处：《中国继续医学教育》2021年第29期131-134,共4页China Continuing Medical Education

摘　　要：目的探析现代产房体系构建下降低剖宫产率的价值。方法将2017年1月—2018年12月随机选择于重庆市渝北区妇幼保健院住院分娩1000例产妇收入参照组评估资料,该组采用传统产房体系,将2019年1月—2020年6月随机选择于重庆市渝北区妇幼保健院住院分娩1000例产妇收入试验组评估资料,该组采用现代产房体系,评估产妇分娩质量、新生儿死亡率及新生儿窒息率情况。结果试验组产妇剖宫产总体统计率(40.00%)相比较参照组研究数据资料(45.00%)下降,差异有统计学意义(P<0.05),试验组产妇阴道助产总体统计率、产妇产后出血总体统计率、产妇死亡总体统计率(0.10%、1.00%、0.00%)相比较参照组研究数据资料(0.10%、2.00%、0.00%)区别情况较小,差异无统计学意义(P>0.05),试验组母体因素构成比(25.00%)相比较参照组研究数据资料(9.90%)增大,差异有统计学意义(P<0.05),试验组社会因素构成比(1.00%)、胎儿因素构成比(7.10%)、其余因素构成(6.90%)相比较参照组研究数据资料(10.10%)下降,差异有统计学意义(P<0.05),试验组胎儿因素构成比、其余因素构成(7.10%、6.90%)相比较参照组研究数据资料(15.00%、10.00%)区别情况较小,组间差异无统计学意义(P>0.05),试验组新生儿死亡率、新生儿窒息率(0.00%、1.00%)相比较参照组研究数据资料(0.10%、2.00%)区别情况较小,组间差异无统计学意义(P>0.05)。结论构建现代产房体系有助于提高产科质量、降低剖宫产率。Objective To explore the value of modern delivery room system in reducing low cesarean section rate.Methods From January 2017 to December 2018,1000 cases of maternal income were randomly selected from hospitalized delivery in the Yubei District Maternal and Child Health Hospital of Chongqing City.The group used the traditional delivery room system and will be selected from January 2019 to June 2020.The evaluation data of 1000 cases of maternal income of hospitalized delivery in the Maternal and Child Health Hospital of Yubei District,Chongqing City were randomly selected every month.This group adopts modern delivery room system to evaluate maternal delivery quality,neonatal mortality and neonatal asphyxia rate.Results The overall statistical rate of cesarean section in the experimental group(40.00%)decreased compared with the research data of the reference group(45.00%),and the difference was statistically significant(P<0.05).The overall statistical rate of vaginal midwifery,postpartum hemorrhage and maternal death in the experimental group(0.10%,1.00%and 0.00%)were compared with the research data of the reference group(0.10%,2.00%and 0.00%)The difference was small,and the difference was not statistically significant(P>0.05).The maternal factor composition ratio of the test group(25.00%)increased compared with the research data of the reference group(9.90%),and the difference was statistically significant(P<0.05).The social factor composition ratio of the test group(1.00%),fetal factor composition ratio(7.10%)and other factor composition(6.90%)were compared with the research data of the reference group(10.10%)decreased,and the difference was statistically significant(P<0.05).Compared with the research data of the reference group(15.00%,10.00%),the fetal factor composition ratio and other factor composition of the test group(7.10%,6.90%)had little difference,and there was no statistically significant difference between the groups(P>0.05).The neonatal mortality and neonatal asphyxia rate of the test group(0.00%,1.0

关 键 词：现代产房体系 剖宫产 产后出血 阴道助产 新生儿死亡 新生儿窒息 

分 类 号：R714[医药卫生—妇产科学]