2018—2022年贵阳市孕产妇妊娠风险管理及分布情况  

Pregnancy Risk Management and Distribution of Pregnant Women from 2018 to 2022 in Guiyang

作　　者：王艳 龙琦 梁英 冯先美 杨佳熙 Wang Yan;Long Qi;Liang Ying;Feng Xianmei;Yang Jiaxi(Guiyang Maternal and Child Health Care Hospital,Guiyang,Guizhou,550003,China;不详)

机构地区：[1]贵阳市妇幼保健院,贵州贵阳550003 [2]广州市白云区妇幼保健院,广东广州510080

出　　处：《中国初级卫生保健》2025年第3期44-48,共5页Chinese Primary Health Care

基　　金：贵阳市卫生健康局科学技术计划项目(筑卫健科技合同字[2021]第35号)。

摘　　要：目的:了解贵阳市妊娠风险管理情况及红色风险标识孕产妇风险因素的变化趋势,为孕产妇妊娠风险筛查与管理提供依据。方法:收集2018—2022年贵阳市常住孕产妇的妊娠风险管理情况统计报表及红色风险标识孕产妇个案信息表,分析5年间“五色”标识孕产妇的变化情况及红色风险标识孕产妇风险因素的变化趋势。结果:2018—2022年贵阳市绿色风险标识孕产妇发生率呈逐年下降趋势(χ^(2)=3 176.175,P<0.01)。黄色、橙色、红色及紫色风险标识孕产妇发生率呈逐年上升趋势(χ^(2)值分别为454.507、2 483.929、191.817、68.832,P<0.01)。红色风险标识孕产妇的高风险因素中,排名前5位的疾病依次是凶险性前置胎盘、严重心血管系统疾病、胎盘早剥、血液系统疾病和严重产后出血,且占比呈逐年上升趋势。结论:贵阳市高危孕产妇管理形势严峻,要从源头上做好风险筛查,加大宣传力度,发现高危因素,采取相应干预措施、加强多学科协作,降低妊娠风险,保障母婴安全。OBJECTIVE To understand the pregnancy risk management situation in Guiyang and the changing trend of risk factors for pregnant women with red risk identification,and provide a basis for pregnancy risk screening and management of pregnant women.METHODS Collect statistical reports on pregnancy risk management of permanent pregnant women and individual information forms for pregnant women with red risk labels from 2018 to 2022 in Guiyang,and analyze the changes in pregnant women with“five-color”labels and the changing trend of risk factors for pregnant women with red risk labels over the past five years.RESULTS The incidence of green labeling pregnant women showed a downward trend year by year(χ^(2)=3176.175,P<0.01).The incidence of other colored labeling pregnant women(yellow,orange,red and purple)showed an increasing trend year by year(χ^(2)=454.507,2483.929,191.817,68.832,P<0.01).Among the high-risk factors of red labeling pregnant women,the top five diseases were dangerous placenta previa,serious cardiovascular system diseases,placental abruption,hematological system diseases and severe postpartum hemorrhage,which showed an increasing trend year by year.CONCLUSION The management situation of high-risk pregnant women in Guiyang is severe.It should do a good job in risk screening from the source,increase publicity efforts,find high-risk factors,take corresponding intervention measures,strengthen multidisciplinary cooperation,reduce pregnancy risks and ensure the safety of mothers and infants.

关 键 词：妊娠风险管理 风险因素 高危孕产妇 

分 类 号：R173[医药卫生—妇幼卫生保健]