危重孕产妇多学科会诊现况与策略分析  

Analysis and Strategies of Multidisciplinary Consultation for Critically Ill Pregnant and Puerperal Women

作　　者：姜宗杰[1] 佟朝霞[2] 孟黎辉[1] JIANG Zongjie;TONG Zhaoxia;MENG Lihui(Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China;不详)

机构地区：[1]首都医科大学附属北京安贞医院,北京100029 [2]首都医科大学附属北京安贞医院质效部,北京100029

出　　处：《中国卫生质量管理》2022年第4期30-32,38,共4页Chinese Health Quality Management

摘　　要：目的汇总分析北京市某危重孕产妇救治中心多学科会诊数据,为提升救治质量提供依据。方法提取2017年-2020年该中心医疗工作报表及危重孕产妇多学科会诊数据,录入Excel 2017软件,运用数据透视表进行分析。结果2017年-2020年该中心申请多学科会诊孕产妇共338例,北京地区孕产妇占比、城镇孕产妇占比、本科及以上学历孕产妇占比、月收入3000元以上孕产妇占比整体均呈下降趋势,而危重孕产妇比例、申请会诊孕产妇平均年龄、参与会诊科室数量呈增长趋势。申请多学科会诊的孕产妇排名前5位的疾病以妊娠合并心脏病为主,排第1位的为妊娠合并肺动脉高压;参与孕产妇会诊的科室主要有麻醉科、重症医学科、心脏大血管外科、心脏内科、心内科重症监护室、普儿科。结论危重孕产妇救治形势严峻,管理难度增加。需完善救治体系,加强闭环管理,落实风险管控,按需配置多学科救治团队。Objective To analyze the multidisciplinary consultation data from a critically ill pregnant and puerperal women treatment center in Beijing to provide evidence for improving treatment quality.Methods The data of medical work report and critically ill pregant and puerperal women multidisciplinary consultation were extracted from 2017 to 2020,inputed into Excel 2017 software,and analyzed by pivot table.Results From 2017 to 2020,a total of 338 cases of pregnant women applied for multidisciplinary consultation in the center.The proportion of pregnant women from Beijing area,urban pregnant women,pregnant women with a bachelor's degree or above,and pregnant women with a monthly income of more than 3000 yuan showed a decreasing trend.The proportion of critically ill pregnant women,the average age of pregnant women applying for consultation and the number of departments participating in consultation showed an increasing trend.The top 5 diseases of pregnant women applying for multidisciplinary consultation were mainly pregnancy complicated with heart disease,and pregnancy complicated with pulmonary hypertension ranked the first.The departments involved in maternal consultation mainly included anesthesiology,intensive care,cardiovascular surgery,cardiology,cardiology intensive care unit and general pediatrics.Conclusion The situation of treatment for critically ill pregnant women is severe and the management is more difficult.It needs to improve the medical treatment system,strengthen closed-loop management,implement risk management and control,and deploy multidisciplinary medical teams as needed.

关 键 词：多学科会诊 危重孕产妇 医疗质量 

分 类 号：R197.323[医药卫生—卫生事业管理] R714[医药卫生—公共卫生与预防医学]