基于全程产检信息开展严重产后出血风险预测的应用与思考  

Application and consideration of risk prediction of severe postpartum hemorrhage based on information on full obstetric examination

作　　者：魏万强 贾玉龙 刘春容 赵芃 谭婧[1,2,3] 刘兴会 WEI Wan-qiang;JIA Yu-long;LIU Chun-rong;ZHAO Peng;TAN Jing;LIU Xing-hui(Chinese Evi-dence-based Medicine Center,West China Hospital,Sichuan University,Chengdu 610041 China;NM-PA Key Laboratory for Real World Data Research and Evaluation in Hainan,Chengdu 610041,China;Si-chuan Center of Technology Innovation for Real World Data,Chengdu 610041,China;Department of Obstetrics and Gynecology,Key Laboratory of Ob-stetric and Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education,West China Second Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院中国循证医学中心,四川成都610041 [2]国家药品监督管理局海南真实世界数据研究与评价重点实验室,四川成都610041 [3]四川省真实世界数据技术创新中心,四川成都610041 [4]四川大学华西第二医院,出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041

出　　处：《中国实用妇科与产科杂志》2024年第4期391-396,共6页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划项目(2021YFC2701503);国家自然科学基金(72174132);厦门市科技局一般科技计划项目(3502Z20224004)。

摘　　要：严重产后出血是导致孕产妇器官功能衰竭甚至死亡的首要原因。通过对严重产后出血的早期识别与及时干预等措施可有效避免相关事件的发生。如何合理利用孕期管理中的全程产检信息对严重产后出血发生风险进行预测,以指导临床医生进行精准预防及干预,是目前亟需解决的关键临床问题。文章针对现有临床实践中运用全程产检信息开展严重产后出血风险预测的不同处理方式进行总结,并基于不同的研究目的,厘清科学合理的处理方式,介绍可用的模型构建方法,以期为利用全程产检信息预测严重产后出血提供方法学指导。Severe postpartum hemorrhage is the leading cause of maternal organ failure and even death.Early identification of severe postpartum hemorrhage and timely intervention can effectively prevent the occurrence of related events.How to predict the risk of severe postpartum hemorrhage by using the information on the full obstetric examination in the management of pregnancy and how to guide clinicians to carry out accurate prevention and intervention is a key clinical problem that needs to be solved immediately.In this paper,we summarize the different ways of predicting the risk of severe postpartum hemorrhage by using the information on the full obstetric examination in existing clinical practice,clarify the scientific and reasonable ways of handling the information based on different research purposes,and introduce the available methods of model construction,aiming to provide methodological guidance for the prediction of severe postpartum hemorrhage by using the information on the full obstetric examination.

关 键 词：严重产后出血 全程产检信息 纵向数据 预测模型 

分 类 号：R714.461[医药卫生—妇产科学]