CAJ | 학술논문

目的：观察高危孕产妇电子管理系统的管理效果以及2010～2013年广西高危孕产妇高危因素的变化情况。方法利用广西妇幼卫生信息管理系统对2010～2013年的广西高危产妇资料进行分析，包括广西孕产妇及高危孕产妇建档情况及其高危因素的变化情况。结果2012年、2013年孕产妇建档率和高危孕产妇电子建档率分别为94．73％、89．33％，均高于2010年、2011年的75．81％、61．81％（ P＜0．001）。与2010～2011年比较，在2012～2013年的前10位高危因素中，构成比升高的是肝炎或肝损害、孕晚期胎位异常、剖宫产史、人工或自然流产2次、胎儿窘迫、年龄≤18岁或≥35岁。2010～2011年高危孕产妇的高危评分分级构成比与2012～2013年比较，差异有统计学意义（P＜0．001），2010～2011年高危评分一级的构成比高于2012～2013年，而2012～2013年高危评分二级及以上的构成比则明显高于2010～2011年。2012～2013年的各种高危因素发生数量构成比与2010～2011年比较，差异有统计学意义（P＜0．001），2012～2013年的单一高危因素的构成比明显减少，两种及以上的高危因素均增多。结论通过信息管理系统可以快速监控全区高危孕产妇情况。对构成比升高的高危因素和高危评分二级及以上的孕产妇应重点监控，以降低孕产妇死亡率和围产儿死亡率，保障母婴安全。
목적：관찰고위잉산부전자관리계통적관리효과이급2010～2013년엄서고위잉산부고위인소적변화정황。방법이용엄서부유위생신식관리계통대2010～2013년적엄서고위산부자료진행분석，포괄엄서잉산부급고위잉산부건당정황급기고위인소적변화정황。결과2012년、2013년잉산부건당솔화고위잉산부전자건당솔분별위94．73％、89．33％，균고우2010년、2011년적75．81％、61．81％（ P＜0．001）。여2010～2011년비교，재2012～2013년적전10위고위인소중，구성비승고적시간염혹간손해、잉만기태위이상、부궁산사、인공혹자연유산2차、태인군박、년령≤18세혹≥35세。2010～2011년고위잉산부적고위평분분급구성비여2012～2013년비교，차이유통계학의의（P＜0．001），2010～2011년고위평분일급적구성비고우2012～2013년，이2012～2013년고위평분이급급이상적구성비칙명현고우2010～2011년。2012～2013년적각충고위인소발생수량구성비여2010～2011년비교，차이유통계학의의（P＜0．001），2012～2013년적단일고위인소적구성비명현감소，량충급이상적고위인소균증다。결론통과신식관리계통가이쾌속감공전구고위잉산부정황。대구성비승고적고위인소화고위평분이급급이상적잉산부응중점감공，이강저잉산부사망솔화위산인사망솔，보장모영안전。
Objective To observe the management efficacy of electronic management system as well as the variation of high risk factors for pregnant women with high risks in Guangxi from 2010 to 2013.Methods The data of pregnant women with high risks in Guangxi from 2010 to 2013 were analyzed by Guangxi Maternal and Child Health Information Management System ,including the establishment of files as well as the variation of high risk factors for pregnant women with high risks in Guangxi .Results The established rates of electronic files for pregnant women and pregnant women with high risks in 2012 and 2013 were 94.73%and 89.33%,respectively ,which were higher than those in 2010 and 2011(75.81%and 61.81%,respectively)(P<0.001).Compared with the risk factors in 2010 and 2011,of the top ten high-risk factors in 2012 and 2013,the factors with increased constituent ratio included hepatitis or liver damage ,abnormal fetal position in late pregnancy,cesarean delivery history ,artificial or natural abortion for twice ,fetal distress,and age ≤18 years or ≥35 years.There was a significant difference in the constituent ratio of high-risk grade for pregnant women between the stage of 2010 -2011 and the stage of 2012-2013(P<0.001).The constituent ratio of high-risk gradeⅠin the stage of 2010 -2011 was higher than that in the stage of 2012-2013 ,and the constituent ratio of high-risk grade Ⅱor above in the stage of 2012-2013 was significantly higher than that in the stage of 2010-2011 .There was a significant difference in the constituent ratio of high risk number between the stage of 2010-2011 and the stage of 2012-2013(P<0.001).The constituent ratio of single high risk in 2012 and 2013 decreased obviously,but the constituent ratios of two or more high risks increased .Conclusion The profile of pregnant women over the province can be rapidly surveilled by the information management system .The high-risk factors with increased constituent ratio and the pregnant women with high-risk grade Ⅱ or above should be monitored intensively so as to reduce the maternal mortality and perinatal mortality as well as guarantee the safety of mother and baby.