产科多学科门诊就诊模式对两种产科合并症患者的应用效果评价  

Evaluation of the Application effect of Obstetric Multidisciplinary Outpatient Service Mode on Patients with Two Obstetric Complications

作　　者：李雪莲 夏经炜 汤振宇 

机构地区：[1]上海市黄浦区妇幼保健所妇保科,上海200010 [2]上海市黄浦区妇幼保健所,上海200010

出　　处：《大众科技》2021年第9期31-34,共4页Popular Science & Technology

基　　金：上海市黄浦区科研项目(HKW201630)。

摘　　要：目的:探讨产科多学科门诊就诊模式在慢性高血压合并妊娠、妊娠合并血小板减少这两种产科合并症患者管理中的应用效果。方法:选取2016年1月至2019年12月在上海瑞金医院定期产检,诊断为慢性高血压合并妊娠的42例孕妇和诊断为妊娠合并血小板减少症的40例孕妇作为研究对象。研究组为自愿进入产科多学科门诊就诊模式并诊断为慢性高血压合并妊娠的21例孕妇、诊断为妊娠合并血小板减少症的20例孕妇,接受产科多学科门诊就诊模式管理。对照组为根据研究组的病例特征从普通产科门诊筛选出来的配对病例41例。比较研究组和对照组的血压变化情况(血小板变化情况)、分娩孕周、胎儿体重、妊娠风险预警评估的变化情况。结果:两种产科合并症患者在高血压治疗效果、血小板减少治疗效果、患者满意率方面,研究组好于观察组,差异有统计学意义(P<0.05)。在分娩孕周和胎儿体重方面,研究组均好于对照组,但差异无统计学意义(P>0.05)o妊娠合并血小板减少惠者的研究组经过治疗妊娠风险预警评估的等级有所下降,优于对照组,差异有统计学意义(P<0.05)。结论:产科多学科门诊就诊模式可提高两种产科合并症患者的治疗效果指标,改善围产结局,并提高患者满意度,值得在医疗机构中推广。Objective: To explore the application effect of obstetric multidisciplinary outpatient service mode in the management of patients with chronic hypertension complicated with pregnancy and pregnancy complicated with thrombocytopenia. Methods: 42 pregnant women with chronic hypertension and 40 cases of thrombocytopenia were selected as the study subjects from January 2016 to December 2019 in Shanghai Ruijin Hospital, The study group was 21 pregnant women who voluntarily entered the obstetric multidisciplinary outpatient treatment mode and were diagnosed with chronic hypertension complicated with pregnancy and 20 pregnant women diagnosed with pregnancy complicated with thrombocytopenia. The control group was 41 matched cases selected from the general obstetric clinic according to the case characteristics of the study group. The changes of blood pressure(platelet changes),gestational weeks of delivery, fetal weight and pregnancy risk early warning assessment were compared between the study group and the control group. Results: The study group was better than the observation group in the treatment effect of hypertension, thrombocytopenia and the patient satisfaction rate of the two obstetric complications(P<0.05). In terms of gestational weeks and fetal weight, the study group was better than the control group but the difference was not statistically significant(P>0.05). After treatment, the grade of pregnancy risk early warning assessment in the study group with pregnancy complicated with thrombocytopenia decreased, which was better than that in the control group, the difference was statistically significant(P<0.05). Conclusion: The obstetric multidisciplinary outpatient service mode can improve the treatment effect indicators of two obstetric complications, improve perinatal outcomes, and improve patient satisfaction. It is worthy to be popularized in medical institutions.

关 键 词：产科多学科门诊就诊模式 妊娠合并症 高血压 

分 类 号：R41[医药卫生—临床医学]