基层医院高危妊娠转诊599例母婴结局分析

发布时间：2018-05-06 03:40

本文选题：高危孕产妇 + 转诊　；参考：《广东医学》2017年S2期

【摘要】：目的通过对599例高危孕产妇转诊资料进行分析,了解转诊病种分布和母儿结局,并总结转诊经验。方法回顾性分析2014—2015年转诊至花都区妇幼保健院的599例孕产妇的临床资料,统计分析患者转诊医院、病种分布以及母儿预后等指标。结果 (1)转诊医院为一级医院所占比例最大(80.6%),二级医院占比为10.9%,三级医院为8.5%;(2)病种分布前5位依次为:先兆早产103例,胎膜早破92例,妊娠糖尿病83例,先兆流产81例,瘢痕子宫79例;(3)母儿结局:阴道分娩289例(53.5%),剖宫产251例(46.5%),终止妊娠21例(3.5%),孕妇引产放弃胎儿8例,无孕产妇死亡。对胎儿来说,565例活产新生儿,早产202例,其中转新生儿重症监护室142例(26.3%),新生儿肺炎31例,新生儿黄疸22例,新生儿窒息4例,死亡3例(0.9%)。结论高危孕产妇转诊与规范化救治是降低孕产妇和围生儿病死率的关键,应努力构建统筹城乡的高危孕产妇三级转诊网络和提高救治能力。
[Abstract]:Objective to analyze the data of 599 cases of high risk pregnant women, to understand the distribution of referral diseases and maternal and infant outcomes, and to sum up the experience of referrals. Methods the clinical data of 599 pregnant women who were transferred to Huadu District Maternal and Child Health Hospital from 2014 to 2015 were analyzed retrospectively. The patient referral hospital, the distribution of diseases and the prognosis of mother and infant were analyzed statistically. Results 1) the proportion of referral hospital was 80.6%, that of second class hospital was 10.9, and that of tertiary hospital was 8.5%) the first five diseases were as follows: 103 cases of threatened premature delivery, 92 cases of premature rupture of membranes, 83 cases of gestational diabetes mellitus and 81 cases of threatened abortion. Results: 289 cases of vaginal delivery, 251 cases of cesarean section, 21 cases of termination of pregnancy, 8 cases of induced abortion, 8 cases of abortion, and no maternal death. For fetus, 565 live births, 202 premature births, 142 cases of neonatal intensive care unit, 31 cases of neonatal pneumonia, 22 cases of neonatal jaundice, 4 cases of neonatal asphyxia, 3 cases of death. Conclusion the referral and standardized treatment of high-risk pregnant women is the key to reduce the mortality of pregnant women and perinatal children. The three-level referral network of high-risk pregnant women in urban and rural areas should be constructed and the treatment ability should be improved.
【作者单位】：广州市花都区妇幼保健院(胡忠医院)产科;
【分类号】：R714.2

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