顺义区高危妊娠转诊情况分析

Analysis of the referral of high-risk pregnancy in Shunyi district

目的探讨近5年顺义区高危妊娠转诊特点及转诊指征变化情况。方法回顾性分析2010年1月-2014年12月年顺义区妇幼保健院产科门诊转诊的544例高危妊娠患者的临床资料，据转诊指征将病例分四组：内科合并症组、感染性疾病组、产科并发症组及其他组。根据孕妇户籍分为本地孕妇和外地孕妇。结果顺义区5年来高危妊娠转诊指征发生变化，从2010年1月～2012年6月到2012年7月～2014年12月，感染性疾病所占比例由64．21％下降到33．62％，内科合并症所占比例由31．58％上升到57．91％。本地户籍孕妇转诊指征主要为内科合并症（63．09％），外地户籍孕妇转诊指征主要为感染性疾病（54．02％）。结论顺义区近5年高危妊娠转诊网络逐渐通畅，转诊率有上升趋势，转诊指征构成比发生变化，不同户籍孕妇转诊指征之间存在显著差异。

Objective To investigate the referral characteristics of high-risk pregnancy and the change of referral indi- cations in 5 years in Shunyi district. Methods Clinical data of 544 cases of high-risk gravidas who were referred from the obstetric outpatient department of our hospital from 2010 to 2014 were retrospectively analyzed. The cases were di- vided into four groups： internal medical diseases, infectious diseases, obstetric complications and other groups according to the referral indications. They were also divided into native and non-native groups according to the household regis- ters. Results The referral indications of high-risk pregnancy were changed in Shunyi district in the past 5 years. From Jan 2010-Jun 2012 to July 2012-Dem 2014, the proportion of infectious diseases decreased from 64.21% to 33.62%, and the proportion of internal medical diseases increased from 31.58% to 57.91%. The main referral indications for na- tive gravidas were internal medical diseases（63.09%） compared with infectious diseases（54.02%） for non-native gravidas. Conclusion The referral system of high-risk pregnancy in Shunyi district improved gradually in the past 5 years, and the referral rate is increased. The composition of referral indications is changed. There are significant differences among different household registers of pregnant women.