CAJ | 학술논문

目的：观察保定市孕产妇孕产期合并（并发）症发生动态，为最大限度降低本市孕产妇不良妊娠结局提供科学依据。方法对河北省卫生厅在本市确定的5所医院，使用国家监测办公室统一制定的调查表，对所有住院孕产妇进行合并（并发）症监测，了解其与年龄、居住地的发病规律，并对孕产期合并症就诊医院与不良妊娠结局进行分析。结果共监测8990例孕产妇，孕产期合并（并发）症患病率为13.1％，共26种疾病；城区和农村患病率为3.6％和9.5％；对妊娠结局影响较大的前5位疾病依次为妊娠期高血压疾病（4.6％）、贫血（3.0％）、异位妊娠（0.9％）、糖尿病（0.8％）和产后出血（0.6％），前5位合并症发生年龄以≤20岁组（20.7％）和大于35岁组（19.1％）为高发年龄段；不良妊娠结局患病率为2.5％，前5位合并症发生率52.3％，其他合并症发生率为8.1％。结论贯彻落实国家重大公共卫生妇幼卫生服务实施方案，多部门协管、健全医疗保健系统服务网络；市县两级卫生行政部门针对临床保健薄弱环节制定切实提高合并症防治措施，达到降低孕产期合并症及不良妊娠结局发生，提高母婴健康水平的目的。
목적：관찰보정시잉산부잉산기합병（병발）증발생동태，위최대한도강저본시잉산부불량임신결국제공과학의거。방법대하북성위생청재본시학정적5소의원，사용국가감측판공실통일제정적조사표，대소유주원잉산부진행합병（병발）증감측，료해기여년령、거주지적발병규률，병대잉산기합병증취진의원여불량임신결국진행분석。결과공감측8990례잉산부，잉산기합병（병발）증환병솔위13.1％，공26충질병；성구화농촌환병솔위3.6％화9.5％；대임신결국영향교대적전5위질병의차위임신기고혈압질병（4.6％）、빈혈（3.0％）、이위임신（0.9％）、당뇨병（0.8％）화산후출혈（0.6％），전5위합병증발생년령이≤20세조（20.7％）화대우35세조（19.1％）위고발년령단；불량임신결국환병솔위2.5％，전5위합병증발생솔52.3％，기타합병증발생솔위8.1％。결론관철락실국가중대공공위생부유위생복무실시방안，다부문협관、건전의료보건계통복무망락；시현량급위생행정부문침대림상보건박약배절제정절실제고합병증방치조시，체도강저잉산기합병증급불량임신결국발생，제고모영건강수평적목적。
Objective To characterize the complications during pregnancy in women in Baoding City. Methods Five birthing hospitals participated in this survey.Subjects included pregnant women administered to these hospitals during September 30,2010 through September 30,2011.Questionnaires were used to collect information on complications and other variables.Prevalence of a specific complication was calculated. Results A total of 8 990 pregnant women were included.Twenty-six types of complications were recorded with a prevalence rate of 13.1%for any complication.Overall, 3.6% of women living in cities had complications,and this proportion was 9.5%for women living in rural areas.The five top complications included gestational hypertension (4.6%),anemia (3.0%),ectopic pregnancy (0.8%),diabetes (0.8%),and postpartum hemorrhage (0.6%).Women younger than 20 years of age (20.7%)and women older than 35 years of age (19.1%)had higher prevalence.Adverse pregnancy outcomes were observed in 2.5% of these women. Conclusion Implementation of the state ’s key maternal and child health services, multi-sectorial coordination, improvement in the health care system and service network are important measures in reducing maternal complications and adverse pregnancy outcomes.