我国危重孕产妇救治体系建设:成就、挑战、机遇与展望  

Construction of critical maternal rescue system in China:achievements,challenges,opportunities and future prospects

作　　者：许宗余 XU Zongyu(National Center for Women and Children’s Health,NHC,PRC,Beijing,100081,China)

机构地区：[1]国家卫生健康委妇幼健康中心

出　　处：《中国妇幼卫生杂志》2025年第1期3-8,共6页Chinese Journal of Women and Children Health

摘　　要：在党和政府的高度重视与战略部署下,我国始终将妇幼健康作为基本民生保障的核心领域,持续推进危重孕产妇救治体系建设。截至2024年3月,全国已建立覆盖省、市、县三级行政区域的3 491家危重孕产妇救治中心,形成分级负责、上下联动的救治体系,危重孕产妇抢救成功率持续保持在99%以上。尽管当前我国危重孕产妇救治体系建设仍面临诸多挑战,医疗资源分配不均衡,存在信息共享壁垒、转诊通道不畅通及多学科协作机制不健全等问题,在一定程度上制约着体系的进一步提质升级,但与此同时,国家政策的大力支持、我国经济的稳步增长、信息化建设的显著发展、妇幼健康服务体系的不断完善以及医联体和医共体建设的逐步推进,也为危重孕产妇救治体系建设带来了前所未有的发展契机。未来需通过深化体制机制改革、融合人工智能与大数据技术、优化区域协同救治网络以及提升救治效能,持续完善救治体系建设,最终实现母婴安全的全程保障。Under the high attention and strategic deployment of the Communist Party and the government of China,China has always regarded maternal and child health as the core area of basic people’s livelihood guarantee and continuously promoted the construction of the critical maternal rescue system.As of March 2024,a total of 3491 critical maternal rescue centers covering provincial,municipal and county administrative regions across the whole country have been established,forming a hierarchical and coordinated rescue system.The rescue success rate of critical pregnant women has remained above 99%consistently.Although the construction of China’s critical maternal rescue system in China still faces numerous challenges currently,such as uneven distribution of medical resources,information sharing barriers,unsmooth referral channels and inadequate multi-disciplinary cooperation mechanisms,which have restricted the further improvement and upgrading of the system to some extent.However,simultaneously,with the strong support of national policies,steady growth of China’s economy,remarkable development of informatization construction,continuous improvement of maternal and child health service system,and gradual advancement of the construction of medical alliances and medical communities,unprecedented development opportunities have been brought to the construction of the critical maternal rescue system.In the future,it is necessary to continuously improve the construction of the rescue system by deepening the reform of institutional mechanism,integrating artificial intelligence and big data technology,optimizing the regional coordinated rescue network and enhancing the rescue efficiency,so as to ultimately achieve the full-course guarantee of the safety of mothers and infants.

关 键 词：危重孕产妇 救治体系建设 成就 挑战 机遇 展望 

分 类 号：R47[医药卫生—护理学]