2019-2022年安徽省危重孕产妇医院监测结果分析  

Analysis of surveillance results of maternal near miss hospitals in Anhui Province from 2019 to 2022

作　　者：吕丽君 李涛 吴言 LYU Lijun;LI Tao;WU Yan(Anhui Provincial Center for Woman and Child Health,Hefei 230000,China)

机构地区：[1]安徽省妇女儿童保健中心,安徽合肥230000

出　　处：《安徽医学》2025年第1期106-110,共5页Anhui Medical Journal

基　　金：安徽省卫生健康科研项目(编号:AHWJ2023BAc20157)。

摘　　要：目的 分析危重孕产妇监测相关数据,为此类人群的早期识别和干预提供参考。方法 利用中国危重孕产妇监测系统收集2019-2022年安徽省18所医院孕产妇信息资料,分析危重孕产妇发生情况和特征,采用单因素分析和广义线性回归模型分析危重孕产妇发生的影响因素。结果 2019-2022年安徽省共18所医院共有孕产妇253 495例,其中危重孕产妇1 880例,危重孕产妇检出率为7.42‰;危重孕产妇疾病谱以凝血功能障碍检出率最高,占比80.96%。单因素分析发现,高龄(年龄≥35岁)、婚姻状况为单身、产前检查次数<5次、经产妇、既往有剖宫产史的危重孕产妇检出率较高,差异有统计学意义(P <0.05)。广义线性回归模型分析发现,高龄(RR=1.852,95%CI:1.639~2.092)、既往剖宫产史(RR=1.445,95%CI:1.275~1.637)、产前检查次数<5次(RR=2.910,95%CI:2.604~3.252)的孕产妇对危重孕产妇检出率的影响较大。结论 安徽省危重孕产妇检出率较高,危重孕产妇疾病谱以凝血功能障碍为主,应加强对贫血和出血性疾病的防治,规范开展产前检查,重点关注高龄、既往剖宫产史等高危孕产妇。Objective To analyze the surveillance data of maternal near miss to provide reference for early identification and interven-tion of this population.Methods The information of pregnant women in 18 hospitals in Anhui province from 2019 to 2022 was collected by the China’s maternal near miss surveillance system,and the occurrence and characteristics of maternal near miss were analyzed.The influenc-ing factors of the occurrence of maternal near miss were analyzed by univariate analysis and generalized linear regression model.Results From 2019 to 2022,there were 253,495 pregnant women in 18 hospitals in Anhui Province,including 1880 maternal near miss,and the detec-tion rate of maternal near miss was 7.42‰.The disease spectrum of maternal near miss had the highest detection rate of coagulation dysfunc-tion,accounting for 80.96%.Univariate analysis showed that the detection rate of maternal near miss was higher in the elderly(age≥35 years),marital status was single,the number of prenatal examinations was<5 times,menstruated women,previous history of cesarean section with sta-tistical significance(P<0.05).Generalized linear regression model analysis found that old age(RR=1.852,95%CI:1.639~2.092),previous history of cesarean section(RR=1.445,95%CI:1.275~1.637),and the number of prenatal examinations<5 times(RR=2.91,95%CI:2.604~3.252)had a greater impact on the detection rate of maternal near miss.Conclusion In Anhui province,the detection rate of maternal near miss is high,and the disease spectrum is mainly cocoagulation dysfunction.It is necessary to strengthen the prevention and treatment of anemia and hemorrhagic diseases,standardize prenatal examination,and pay attention to high-risk pregnant women such as old age and previous his-tory of cesarean section.

关 键 词：危重孕产妇 医院监测 疾病谱 影响因素 

分 类 号：R47[医药卫生—护理学]