680例高危孕妇筛查与系统管理分析.docVIP

680例高危孕妇筛查与系统管理分析 　　[摘要] 目的 通过筛查高危妊娠人群，分析高危孕妇的危险因素，并通过监测与管理，以减少高危孕产妇和围生儿的并发症及死亡率。 方法 对2013年10月～2014年9月在本院建档检查的1631例孕妇进行系统的检查，筛查出高危孕妇，并建立高危妊娠档案进行监测及系统管理。 结果 筛查出高危妊娠者680例，占41.69%，前5位高危因素依次为瘢痕子宫（31.76%）、年龄因素（16.62%）、产前出血（12.06%）、妊娠期合并糖尿病及甲状腺疾病（8.68%）、妊娠合并高血压疾病（7.06%），动态高危因素的好转率为57%～67%。 结论 妊娠期间需要及时、多次对孕产妇进行高危筛查，并进行系统的分析与管理，以降低高危因素、保障母婴安全。 　　[关键词] 高危孕妇；妊娠；筛查；系统管理 　　[中图分类号] R173 [文献标识码] A [文章编号] 1674-4721（2015）07（a）-0164-04 　　Analysis of screening and system management of 680 cases of high-risk pregnant women 　　WAN Yun-hua LIU Li-hong JIANG Bai-ling▲ ZOU Hui-ying WU Jie PAN Jiao-jiao 　　Department of Preventive Health，the People′s Hospital of Longgang District in Shenzhen City，Shenzhen 518172，China 　　[Abstract] Objective To analyze the monitor and manage of risk factors in high-risk pregnant women by screening the high-risk pregnancy crowd，and reduce the complications and mortality of maternal and perinatal. Methods 1631 pregnant women inspected in our hospital from October 2013 to September 2014 were checked and screened systematically，for screening out the high-risk pregnant women.The documents of high-risk pregnancy was established，the pregnant women were monitored and managed. Results 680（41.69%） high-risk pregnant women were screened out.The top 5 high risk factors was uterine scar（31.76%），age（16.62%），antepartum hemorrhage（12.06%），pregnancyassociated with diabetes，thyroid disease（8.68%）andgestational hypertensiondisease（7.06%）.The improvement rates of dynamic risk factors was 57%-67%. Conclusion Pregnant women should be screened timely for high risk fators for many times during pregnancy.Analyzing and managing the high-risk pregnant women systematically can reduce the high risk factors and ensure the safety of maternal and infant. 　　[Key words] High-risk pregnant women；Pregnancy；Screening；System admin 　　随着现代医学和围生医学的进步和发展，高危妊娠的人群越来越多，涉及面也越来越广[1]。高危孕产妇在整个妊娠期及围生期患有一种或多种急慢性病或伴有妊娠并发症，不仅对孕妇本身有所危害，还会危及胎儿的健康，有极高的危险性，因此，需要得到医院、家庭、社会的重视。高危孕产妇的早期筛查与管理对孕妇及胎儿具有积极的影响意义，本