CAJ | 학술논문

目的：总结孕产妇死亡救治中存在的问题。方法回顾分析2008～2013年攀枝花市31例孕产妇死亡原因。结果2008～2013年孕产妇死亡率呈逐年下降趋势，2013年孕产妇死亡率明显低于2008年孕产妇死亡率（P＜0.05）。31例死亡孕产妇中直接产科原因死亡26例（83.9％），其中产科出血18例（占直接产科原因的69.2％），间接产科原因死亡5例（16.1％）。产前检查次数＜5次的孕产妇死亡率明显高于产前检查≥5次的孕妇（P＜0.05）。在省市级医院死亡的孕产妇数多于县级医院、乡镇卫生院及其他地点（P＜0.05）。结论应加强产前检查及高危妊娠管理，同时进一步加强全市孕产妇急救网络和急救绿色通道建设，建立危重孕产妇转诊救治体系，充分发挥综合性医院的救治优势。
목적：총결잉산부사망구치중존재적문제。방법회고분석2008～2013년반지화시31례잉산부사망원인。결과2008～2013년잉산부사망솔정축년하강추세，2013년잉산부사망솔명현저우2008년잉산부사망솔（P＜0.05）。31례사망잉산부중직접산과원인사망26례（83.9％），기중산과출혈18례（점직접산과원인적69.2％），간접산과원인사망5례（16.1％）。산전검사차수＜5차적잉산부사망솔명현고우산전검사≥5차적잉부（P＜0.05）。재성시급의원사망적잉산부수다우현급의원、향진위생원급기타지점（P＜0.05）。결론응가강산전검사급고위임신관리，동시진일보가강전시잉산부급구망락화급구록색통도건설，건립위중잉산부전진구치체계，충분발휘종합성의원적구치우세。
Objective To analyze causes of maternal death and summarize the problems in treatment process.Methods The causes of maternal death of 31 cases in Panzhihua city during 2008~2013 were retrospectively analyzed.Results Maternal mortality was downward trending from 2008 to 2013.Maternal mortality of 2013 was lower than that of 2008 (P<0.05).26 cases were direct obstetric causes accounting for 83.9% and 5 cases were indirect obstetric cause accounting for 16.1%.18 cases were obstetric hemorrhage accounting for 69.2% of direct obstetric causes.The maternal mortality of women with less than 5 times of antenatal examination was higher than women with over 5 times of antenatal examination ( P<0.05 ) .The amount of maternal death in the provincial and municipal hospitals was more than that in the county and township hospitals ( P<0.05) .Conclusion It’ s important to strengthen antenatal examination and management of high-risk pregnancy, to reinforce constructions of maternal emergency network and emergency green channel, to establish referral treatment system in order to give full play to the advantages of comprehensive hospital .