荆州市1990～1998年妊高征妇女死亡相关因素分析

Analysis on the Causes of Maternal Death with Pregnancy Induced Hyper- tension in Jingzhou from 1990 to 1998

1990～1998年间,荆州市活产总数803517例,其中因妊高征死亡者34例,占死亡总数的13.33%,居荆州市孕产妇死亡原因顺位的第二位。妊高征死亡率为4.23/10万。其死亡的主要原因是脑血管病、脑水肿和心力衰竭,两者共占70.61%。资料分析表明:个人家庭卫生知识贫乏和医疗保健系统中工作人员知识技能不足是影响妊高征死亡的主要因素。加强孕期保健,认真监测妊高征三大症状与体征,提高产科门诊质量,合理使用硫酸镁和降压药,防止脑血管意外,适时终止妊娠,是降低妊高征死亡率的关键。

The total deliveries in Jingzhou from 1990 to 1998 were 803 517 and there were 255 cases of maternal death. Among them ,34 cases were caused by pregnancy inducel hypertension which accounted for 13. 33% and ranked second in the causes of maternal death in Jingzhou. The maternal mortality of pregnancy induced hypertension was 4. 23/10. The cerebrovascular accident ,encephaledema and heart failure were the leading causes which accounted for 70. 01 %. The study showed that the poor knowledge of personal family health and the staff skill unwell was the main cause. Strengthening prenatal care,supervising 3 main symptons and signs of pregnancy induced hypertension. Using antispasm drugs such as MgSO4 in properway using hypertension drug in peoper way to prevent the cerebrovascular accident and timely termination of pregnancy are the key points of decreasing maternal death of pregnancy induced hypertension.