北京市海淀区危重孕产妇救治网络运行现况分析  

Operation current status of the maternal near miss rescue network in Haidian district of Beijing

作　　者：邵瑜[1] 梁英智 杨雪梅 李丹丹[1] 石蕊 孟超[1] 蒋红清[1] SHAO Yu;LIANG Yingzhi;YANG Xuemei;LI Dandan;SHI Rui;MENG Chao;JIANG Hongqing(Haidian District Maternal and Child Health Care Hospital,Beijing,100080)

机构地区：[1]北京市海淀区妇幼保健院,100080

出　　处：《中国计划生育学杂志》2024年第5期1201-1206,共6页Chinese Journal of Family Planning

基　　金：海淀区属卫生健康系统高层次人才发展计划项目(2022HDXD006)。

摘　　要：目的:探讨北京市海淀区危重孕产妇救治网络建设及运行现状。方法:对北京市海淀区危重孕产妇救治中心2020-2022年填报的《海淀区危重孕产妇转会诊指定医院接诊高危孕产妇和危重孕产妇个案登记表》等报表进行汇总分析。结果:2020-2022年海淀区高危孕产妇占比从16.16%升至27.34%(χ^(2)_(趋势)=923.56,P<0.001),危重救治网络高危双向转诊率由47.02%上升至59.21%(χ^(2)_(趋势)=26.03,P<0.001),危重孕产妇救治中心的月床位平均周转次数高于下级助产机构,产科医护人员配置相对紧张,下级助产机构危重孕产妇发生率由3.23‰降至1.45‰(χ^(2)_(趋势)=8.81,P=0.003),孕产妇死亡率也呈现下降趋势(χ^(2)_(趋势)=4.25,P=0.039)。结论:北京市海淀区危重孕产妇救治网络运行效果较为理想,降低了危重孕产妇发生率和孕产妇死亡率,下一步应加强区域资源配置,依托“云上妇幼”,加强信息反馈和人员能力提升。Objective:To explore the construction and the operation current status of the maternal near miss rescue network in Haidian district of Beijing.Methods:The“cases registration forms of the high risk or the near miss pregnant and lying-in women referral to the designated hospital in Haidian district”submitted by three maternal near miss rescue centers of Haidian District from 2020to 2022were summarized and analyzed.Results:From 2020to 2022,the proportion of the high risk or the near miss pregnant and lying-in women in Haidian district had increased from 16.16%to 27.34%(χ^(2)_(trend)=923.56,P<0.001).The two-way referral rate by the maternal near miss rescue network in Haidian district had increased from 47.02%to 59.21%(χ^(2)_(trend)=26.03,P<0.001).The number of the monthly bed turnover of the three maternal near miss rescue centers was significantly higher than that of the lower-level midwifery institutions,and the allocation of the obstetric medical staff of the three maternal near miss rescue centers was also relatively few.The incidence rate of the high risk or the near miss pregnant and lying-in women in the lower-level midwifery institutions had decreased from 3.23‰to 1.45‰(χ^(2)_(trend)=8.81,P=0.003)and the maternal mortality rate in the lower-level midwifery institutions also had a decreasing trend(χ^(2)_(trend)=4.25,P=0.039).Conclusion:The operation effect of the maternal near miss rescue network in Haidian district of Beijing is relatively ideal,which has reduced the rates of the occurrence and the mortality of the high risk or the near miss pregnant and lying-in women.In the next step,the regional resource allocation should be strengthened and the information feedback and the personnel service capacity should be improved by relying on the application of the cloud women and children service platform.

关 键 词：危重孕产妇 救治网络 资源配置 

分 类 号：R714[医药卫生—妇产科学]