中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2014年
41期
3252-3255
,共4页
马袁英%戴红燕%邱丽倩%徐键%邱灵
馬袁英%戴紅燕%邱麗倩%徐鍵%邱靈
마원영%대홍연%구려천%서건%구령
妊娠%妊娠并发症%早产%围产期死亡率%子宫切除术
妊娠%妊娠併髮癥%早產%圍產期死亡率%子宮切除術
임신%임신병발증%조산%위산기사망솔%자궁절제술
Pregnancy,high-risk%Pregnancy complication%Premature birth%Perinatal mortality%Hysterectomy
目的 通过浙江省危重孕产妇监测系统掌握危重孕产妇发生水平及不良妊娠结局情况.方法 通过横断面调查选取2012至2013年浙江省危重孕产妇监测医院入院的所有危重孕产妇,网络直报危重孕产妇个案表,包括孕产妇的个人信息,妊娠合并症和并发症,危重孕产妇抢救措施和抢救过程,孕产妇及围产儿的不良结局发生情况.结果 共监测孕产妇161 660,共收集危重孕产妇826例,危重孕产妇的发病率5.6‰,危重孕产妇中妊娠期高血压疾病排首位,164例占19.9％;第2位是子宫收缩乏力,162例占19.6％;第3位为前置胎盘,146例占17.7％.危重孕产妇严重孕产结局中,子宫切除139例,子宫切除率16.8％.围产儿死亡81例,围产儿死亡率为10.4％,早产279例,早产出生率39.9％.结论 危重孕产妇监测有利于掌握危重孕产妇发生的流行病学情况,督促医疗机构改善产科质量,降低危重孕产妇发生率,早产儿出生率和围产儿死亡率.
目的 通過浙江省危重孕產婦鑑測繫統掌握危重孕產婦髮生水平及不良妊娠結跼情況.方法 通過橫斷麵調查選取2012至2013年浙江省危重孕產婦鑑測醫院入院的所有危重孕產婦,網絡直報危重孕產婦箇案錶,包括孕產婦的箇人信息,妊娠閤併癥和併髮癥,危重孕產婦搶救措施和搶救過程,孕產婦及圍產兒的不良結跼髮生情況.結果 共鑑測孕產婦161 660,共收集危重孕產婦826例,危重孕產婦的髮病率5.6‰,危重孕產婦中妊娠期高血壓疾病排首位,164例佔19.9％;第2位是子宮收縮乏力,162例佔19.6％;第3位為前置胎盤,146例佔17.7％.危重孕產婦嚴重孕產結跼中,子宮切除139例,子宮切除率16.8％.圍產兒死亡81例,圍產兒死亡率為10.4％,早產279例,早產齣生率39.9％.結論 危重孕產婦鑑測有利于掌握危重孕產婦髮生的流行病學情況,督促醫療機構改善產科質量,降低危重孕產婦髮生率,早產兒齣生率和圍產兒死亡率.
목적 통과절강성위중잉산부감측계통장악위중잉산부발생수평급불량임신결국정황.방법 통과횡단면조사선취2012지2013년절강성위중잉산부감측의원입원적소유위중잉산부,망락직보위중잉산부개안표,포괄잉산부적개인신식,임신합병증화병발증,위중잉산부창구조시화창구과정,잉산부급위산인적불량결국발생정황.결과 공감측잉산부161 660,공수집위중잉산부826례,위중잉산부적발병솔5.6‰,위중잉산부중임신기고혈압질병배수위,164례점19.9％;제2위시자궁수축핍력,162례점19.6％;제3위위전치태반,146례점17.7％.위중잉산부엄중잉산결국중,자궁절제139례,자궁절제솔16.8％.위산인사망81례,위산인사망솔위10.4％,조산279례,조산출생솔39.9％.결론 위중잉산부감측유리우장악위중잉산부발생적류행병학정황,독촉의료궤구개선산과질량,강저위중잉산부발생솔,조산인출생솔화위산인사망솔.
Objective To explore the prevalence of maternal near miss (MNM) and adverse pregnancy outcomes in Zhejiang province by MNM surveillance system.Methods A cross-sectional study was conducted during 2012 and 2013.All MNM cases were recruited from the MNM surveillance system.The information was reported by direct network report system,including personal information,obstetric complications,maternal rescue measures,rescue process and severe maternal and perinatal outcomes.Results A total of 826 MNM patients were recruited.The MNM rate was 5.6 cases/1 000 live births (LB).Maternal gestational hypertension was the most common disease among MNM,accounting for 19.9％ (n =164).The second prevalent one was insufficient uterine contraction,accounting for 19.6％ (n =162).Placenta previa was the third one accounting for 17.7％ (n =146).Among adverse pregnancy outcomes,139 cases underwent hysterectomy (n =139,16.8％).There were 81 perinatal deaths with a perinatal mortality of 10.4％.And 279 cases (39.9％) were preterm.Conclusion MNM surveillance system is valuable for grasping the prevalence of MNM.And it helps to reduce MNM rate by improving the quality of obstetrics and lower the preterm rate and perinatal mortality.
