2019—2021年南昌市某区危重孕产妇监测结果分析  

Analysis of the Results of Critical Maternal Surveillance in a District of Nanchang 2019-2021

作　　者：邓青 胡蓉 袁思仪 DENG Qing;HU Rong;YUAN Siyi(Nanchang Health Vacational And Technical College,Nanchang,Jiangxi 330103;Nanchang Institute of Technology,Nanchang,Jiangxi 330099,China)

机构地区：[1]南昌健康职业技术学院 [2]南昌工程学院,江西南昌330099

出　　处：《九江学院学报(自然科学版)》2024年第4期118-123,共6页Journal of Jiujiang University:Natural Science Edition

基　　金：江西省教育厅科学技术研究项目(编号GJJ2210302)的研究成果之一。

摘　　要：目的通过对2019—2021年南昌市某区医院危重孕产妇监测结果进行分析,了解南昌市危重孕产妇发生情况及高危影响因素,为降低南昌市危重孕产妇发生率提供理论依据。方法直接获取南昌市某区医院2019-2021原数据并加以筛选处理,统计分析危重孕产妇发生率、妊娠合并症/并发症发生情况及类型。结果2019—2021年南昌市某区医院收治住院孕产妇4995人,最终筛选出4653人,患妊娠合并症/并发症3456例,患合并症/并发症孕产妇发生率为74.3%;危重孕产妇29例,年均发生率为0.66%;其中2019年危重孕产妇发生率较高,为0.95%。危重孕产妇主要妊娠合并症/并发症为贫血、产科出血性疾病、胎膜早破和低蛋白血症,发生率分别为75.86%、51.72%、17.24%和17.24%。孕产妇危重症主要为凝血功能障碍、休克和神经系统功能障碍,发生率分别为47.88/万、25.08/万和6.84/万。结论2019—2021年南昌市某区医院危重孕产妇发生率较高;凝血功能障碍是孕产妇危重症的主要危险因素,需加强对出血性疾病和贫血的防治,并针对高危孕产妇进行健康宣教。Objective Analyze the surveillance results of critically ill pregnant women in a district hospita to lunderstand the incidence of critically ill pregnant women and their high-risk influencing factors,and provide a theoretical basis for reducing the incidence of critically ill pregnant women in Nanchang City from 2019 to 2021.Method The original data of a district hospital in Nanchang City from 2019 to 2021 were directly obtained and screened,and the incidence rate of critically ill pregnant women,the occurrence and types of pregnancy complications/complications were descriptively analyzed.Result From 2019 to 20214995 hospitalized pregnant women were admitted to a district hospital in Nanchang City,and 4653 were finally screened out and 3456 cases had pregnancy complications/complications and the incidence rate of pregnant women with complications/complications was 74.3%.There were 29 critically ill pregnant women with an average annual incidence rate of 0.66%,among them the incidence rate of critically ill pregnant women in 2019 was relatively high at 0.95%.The main pregnancy complications/complications of critically ill pregnant women were anemia,obstetric bleeding disorders,prelabor rupture of membranesand hypoproteinemia with the incidences of 75.86%,51.72%,17.24%and 17.24%respectively.The main maternal critical illnesses were coagulation dysfunctionshock and nervous system dysfunction with the incidence rates of 47.88,25.08and 6.84 per ten thousand people respectively.Conclusion From 2019 to 2021 the incidence of critically ill pregnant women in a district hospital in Nanchang City was high.The main cause of maternal critical illness was coagulation dysfunctionand the prevention and treatment of anemia and bleeding diseases need to be strengthened.

关 键 词：危重孕产妇 妊娠合并症/并发症 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健]