2016—2021年山西省太原市危重孕产妇监测数据分析  

Analysis of monitoring data of critical pregnant women in Taiyuan,Shanxi Province from 2016 to 2021

作　　者：王芳[1] 杨海澜[1] 解艳红 郝慧钮 韩方[1] 黄斯文 WANG Fang;YANG Hai-lan;XIE Yan-hong;HAO Hui-niu;HAN Fang;HUANG Si-wen(First Hospital of Shanxi Medical University,Taiyuan,Shanxi 003000,China;不详)

机构地区：[1]山西医科大学第一医院,山西太原003000 [2]太原市迎泽区妇幼保健计划生育服务中心 [3]山西医科大学

出　　处：《中国妇幼保健》2023年第20期3942-3946,共5页Maternal and Child Health Care of China

基　　金：山西省卫生计生委科研课题(2018GW33)。

摘　　要：目的 本研究通过回顾性分析2016—2021年山西省太原市危重孕产妇监测数据情况,分析各监测机构主要危重孕产妇、合并症/并发症、剖宫产率等相关方面及流行病学资料,为提高产科抢救危重症孕产妇抢救能力、产科质量,进一步巩固母婴安全保障机制,为制订降低危重孕产妇的干预措施提供可靠依据。方法 收集2016—2021年山西省太原市《危重孕产妇个案调查表》,分析孕产妇危重症情况、合并症/并发症和剖宫产率等情况。结果 太原市2016—2021年共上报孕产妇个案142 581例,危重孕产妇发生率在7‰~10‰之间;孕产妇死亡率呈下降趋势,剖宫产率呈上升趋势;合并症/并发症发生率呈逐年递增的趋势,其中贫血居首位。产后出血发生率呈逐年升高趋势,子宫收缩差为其主要原因。结论 2016—2021年山西省危重孕产妇的收治主要集中于山西医科大学第一医院,太原市孕产妇死亡率呈下降趋势,说明各医疗机构技术水平有一定提高,但合并症/并发症孕产妇比例上升,剖宫产率上升,应重视妇幼保健一级保健,提高危重孕产妇早期识别能力,院前急救能力,多学科密切协作,创新管理和救治模式,从医、护、患者3个方面共同参与保障母婴安全。ObjectiveBy retrospectively analyzing the monitoring data of critical pregnant and birth-giving women in Taiyuan City,Shanxi Province from 2016 to 2021,this study aims to enhance the rescue capability and obstetric care delivery as well as to further consolidate the maternal and infant safety guarantee mechanism and provide compelling evidence for formulating intervention measures to reduce the number of critical pregnant women.Specifically,the study examines the data on the cases of pregnant women in critical condition,their complications,cesarean section rate and epidemiological data of various monitoring institutions.Methods The case questionnaires of critical pregnant women in Taiyuan,Shanxi Province in five years were collected to analyze the status of critical diseases,complications and cesarean section rate.Results A total of 142581 cases of pregnant women were reported in Taiyuan from 2016 to 2021,and the incidence of critical pregnant women was between 7%o-10%o;The maternal mortality rate showed a downward trend,while the cesarean section rate was on the increase;The incidence of complications was rising year by year,the highest being anemia The incidence of postpartum hemorhage increased year by year,and poor uterine contraction was the main cintribtuing factor.ConclusionFrom2016 to 2021,the majority of critical pregnant women in Shanxi Province were treated in the First Hospital of Shanxi Medical University.The maternal mortality rate in Taiyuan showed a downward trend,indicating that medical institutions has improved in professional sklls.However,both the proportion of pregnant women with complications and the cesarean section rate have increased.We should pay attention to the primary maternal and child care and improve the ability of early identification of critical pregnant women and pre-hospital care.Comprehensive actions including multi-disciplinary cooperation,innovative management and treatment mode,and joint participation of physicians,nurses and patients in medicine are needed to ensure the sa

关 键 词：危重孕产妇 妊娠合并症/并发症 孕产妇保健工作 

分 类 号：R714.25[医药卫生—妇产科学]