国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
1期
126-129
,共4页
孕产妇%因素%干预措施
孕產婦%因素%榦預措施
잉산부%인소%간예조시
Matemal%Lethal factors%Intervention measures
目的 通过分析广州市海珠区10年来孕产妇死亡情况,总结本区孕产妇死亡的相关因素,为进一步降低本区孕产妇死亡率提出干预措施.方法 对本区2000-2009年死亡的61例孕产妇的资料进行回顾性统计分析.结果 ①2000-2009年广州市海珠区死亡孕产妇共61例,非海珠区户籍孕产妇死亡数46例,占监测对象死亡数75.41％( 46/61).前后5年对比,高龄产妇构成比明显增加,职业分别以农民、待业及服务人员为主.②前后5年对比,孕产妇死因首位由产后出血转变为妊娠合并内科疾病.③有评审结果的死亡个案共59例,其中可避免及创造条件可避免死亡48例,占81.35％.结论 要切实的降低孕产妇死亡率,达到全覆盖的孕产妇保健管理,应重视高危人群管理,加强对流动人口的有效管理是关键；应按照新的《广州市高危妊娠管理办法》,切实落实高危孕产妇的管理,进一步提高产科医务人员的专业水平,加大对内科合并症等危重症孕产妇抢救知识的培训力度.
目的 通過分析廣州市海珠區10年來孕產婦死亡情況,總結本區孕產婦死亡的相關因素,為進一步降低本區孕產婦死亡率提齣榦預措施.方法 對本區2000-2009年死亡的61例孕產婦的資料進行迴顧性統計分析.結果 ①2000-2009年廣州市海珠區死亡孕產婦共61例,非海珠區戶籍孕產婦死亡數46例,佔鑑測對象死亡數75.41％( 46/61).前後5年對比,高齡產婦構成比明顯增加,職業分彆以農民、待業及服務人員為主.②前後5年對比,孕產婦死因首位由產後齣血轉變為妊娠閤併內科疾病.③有評審結果的死亡箇案共59例,其中可避免及創造條件可避免死亡48例,佔81.35％.結論 要切實的降低孕產婦死亡率,達到全覆蓋的孕產婦保健管理,應重視高危人群管理,加彊對流動人口的有效管理是關鍵；應按照新的《廣州市高危妊娠管理辦法》,切實落實高危孕產婦的管理,進一步提高產科醫務人員的專業水平,加大對內科閤併癥等危重癥孕產婦搶救知識的培訓力度.
목적 통과분석엄주시해주구10년래잉산부사망정황,총결본구잉산부사망적상관인소,위진일보강저본구잉산부사망솔제출간예조시.방법 대본구2000-2009년사망적61례잉산부적자료진행회고성통계분석.결과 ①2000-2009년엄주시해주구사망잉산부공61례,비해주구호적잉산부사망수46례,점감측대상사망수75.41％( 46/61).전후5년대비,고령산부구성비명현증가,직업분별이농민、대업급복무인원위주.②전후5년대비,잉산부사인수위유산후출혈전변위임신합병내과질병.③유평심결과적사망개안공59례,기중가피면급창조조건가피면사망48례,점81.35％.결론 요절실적강저잉산부사망솔,체도전복개적잉산부보건관리,응중시고위인군관리,가강대류동인구적유효관리시관건；응안조신적《엄주시고위임신관리판법》,절실락실고위잉산부적관리,진일보제고산과의무인원적전업수평,가대대내과합병증등위중증잉산부창구지식적배훈력도.
Objective Analyzed the 10 years ? maternal mortality in Hai Zhu region, then summarized its related factors,and found some intervention measures to reduce the maternal mortality rate ( MMR ) in this region.Methods Retrospectively analyzed 61 pregnant women who died in this district from 2000 to 2009.Results ①From 2000 to 2009,61 pregnant women died in Haizhu region,among whom 46 ( 75.41％ ) were floating population.Comparing the first 5 years with the second 5 years,the proportion ofolder maternalincreased obviously; most ofthem were farmers,unemployed,or servants.②Comparing the first 5 years with the second 5 years, the first cause of maternal death w changed from postpartum hemorrhage to pregnancy complications.③59 cases had been judged and determined,among whom 48 cases could have been avoided or conditional avoided.Conclusions In order to reduce MMR effectively and achieve the goal of entire maternal health care management,the key point is to effectively strengthen the floating population administration and pay attention to high-risk groups.According to the new "Administration Measures for the high-risk pregnancy in Guangzhou City",we should manage the high-risk pregnant women practically,improve the professional standards of Obstetric medical staff,and increase the capability to rescue critically ill pregnant women with pregnancy complications.
