某社区555例孕产妇高危妊娠发生情况及其对分娩结局的影响分析.docVIP

精品论文 参考文献 某社区555例孕产妇高危妊娠发生情况及其对分娩结局的影响分析 1．西罗园社区卫生服务中心预防保健科 北京100000 2．66336部队医院，北京 100077 【摘要】 目的 了解孕产妇孕期高危发生情况、主要高危因素构成及其对分娩结局的影响，从而提高我区高危孕产妇管理质量。方法 对2015年度我院保健地段内555例产妇资料进行回顾性分析，了解高危孕产妇发生率及主要高危因素构成，采用回顾性病例对照研究将孕期高危与非高危孕产妇分娩结局进行对比，探讨孕产妇孕期是否高危对分娩结局的影响。结果 高危孕产妇发生率较高，为67.21%，其中动态高危因素发生率最高，占比高达59.05%。发生率最高的前10位高危因素中，以高龄孕产妇发生率最高，占所有高危孕产妇的12.76%。高危组孕妇剖宫产率、早产率及低体重儿出生率均高于非高危组，差异有统计学意义（Plt;0.01）。高危组围产儿死亡率高于非高危组、巨大儿分娩率低于非高危组，但差异无统计学意义（Pgt;0.05）。结论 有效的孕产妇管理尤其高危孕产妇管理是降低孕产妇及围产儿不良结局发生率最重要的措施，是围产保健工作的重点和关键。 【关键词】 高危孕产妇 高危因素 分娩结局 管理 【中图分类号】R19【文献标识码】A【文章编号】1001-5213(2016)09-0166-01 【Abstract】 Objective To investigate the incidence of pregnant women at high risk, and the main high risk factors and their effects on the outcome of delivery. So as to improve the quality of management of high risk pregnant women in our district. Method A retrospective analysis was conducted on 555 cases of maternal data in 2015 years of our hospital in order to comprehend the incidence of high-risk pregnant women and the main risk factors. A retrospective case control study was used to compare the outcome of pregnancy with non high-risk pregnant women, in order to explore the effect of high risk of pregnancy on the outcome of delivery. Results The incidence rate of high risk pregnant women in the health section of our hospital was 67.21%. The highest incidence of them is the dynamic risk factors, accounting for up to 59.05%. The highest incidence rate of the top 10 risk factors is the elderly women, accounting for 12.76% of all high-risk maternal. The rate of cesarean section, premature delivery and low birth weight were higher in the high risk group than in the non high risk group, and The difference was statistically significant (Plt;0.01). The perinatal mortality rate in high risk group was higher than that in non high risk group, the rate of giant baby birth was lower than that of non high risk group, but the difference was not statistically significant(Pgt;0.05). Conclusion The effective manage