几内亚CONAKRY公共医疗中心产科并发症病因分析

Analysis of Causes of Obstetrics Complications in Guinea Conakry Public Health Center

目的:根据几内亚科纳克里马塔姆公共医疗中心对孕产妇管理中的相关数据,分析导致该中心孕产妇产科并发症的主要因素,提出降低几内亚孕产妇死亡率的基本策略。方法:对2006-2007年的所有可能导致孕产妇死亡的产科并发症进行回顾性分析,并选择102名从事各种职业的妊娠期妇女志愿者进行访谈,收集相关数据信息并进行Logistic回归法分析。结果:在102名妊娠期妇女中,G1组(糖尿病患者,27人)只有少数妇女受教育水平较高,G2(非糖尿病患者,75人)受到高水平教育的妇女比例约16%;G1和G2中主要的职业均是个体职业分别占66.67%和49.33%;G1、G2两组中的主要产科并发症是妊娠高血压(或疟疾)和出血并发症(或贫血),G1分别是62.96%和29.63%,G2组分别是61.33%和26.61%。结论:几内亚应借鉴中国成功的实践经验,着重完善初级卫生保健,加强基础医疗设施建设,提高妊娠期妇女的健康保健管理水平,迅速降低减低孕产妇产科并发症的发生率和死亡率。

objective： To analyze obstetric and gynecological complications at Matam public medical center with an aim of seeking basic strat- egy to reduce Guinea maternal mortality rate. Methods： A retrospective study was carried from 2006 - 2007 using data obtained from pregnant women through interviews at Community Medical Center of Matam. A total of 102 pregnant women were divided into two groups. The first group （ G1 ） had a total of 27 diabetic pregnant women and the second group （G2） had 75 pregnant women with no diabetes. Data were analyzed by lo- gistic regression. Results： Average age of the study participants was 29.31 years and ranged from 14 to 45 years. A proportion of 33.33% and 9. 33% had no education in group one and group two respectively. The highest level of education in G1 was junior high school （25.93） , and in G2 was university degree （6.67%）. The women＇s main occupation was Individual businesses accounting for 66.67% in G1 and 49.33% in G2. Ob- stetric complications of women were hypertension associated with malaria and bleeding complication associated with anemia these, accounted for 62.96% and 29.63% in G1,61.33% and 26.61% in G2 respectively. Conclusion： Guinea should learn from China＇s successful experience in reducing maternal mortality rate, focus should be put on improving the primary health care;strengthening basic health facilities and improving the health care management level for pregnant women in order to quickly reduce the maternal mortality rate resulting from obstetrics and gynecological complications.