摘要
目的 观察高危孕产妇电子管理系统的管理效果以及2010-2013年广西高危孕产妇高危因素的变化情况。方法 利用广西妇幼卫生信息管理系统对2010-2013年的广西高危产妇资料进行分析,包括广西孕产妇及高危孕产妇建档情况及其高危因素的变化情况。结果 2012年、2013年孕产妇建档率和高危孕产妇电子建档率分别为94.73%、89.33%,均高于2010年、2011年的75.81%、61.81%(P〈0.001)。与2010-2011年比较,在2012-2013年的前10位高危因素中,构成比升高的是肝炎或肝损害、孕晚期胎位异常、剖宫产史、人工或自然流产2次、胎儿窘迫、年龄≤18岁或≥35岁。2010-2011年高危孕产妇的高危评分分级构成比与2012-2013年比较,差异有统计学意义(P〈0.001),2010-2011年高危评分一级的构成比高于2012-2013年,而2012-2013年高危评分二级及以上的构成比则明显高于2010-2011年。2012-2013年的各种高危因素发生数量构成比与2010-2011年比较,差异有统计学意义(P〈0.001),2012-2013年的单一高危因素的构成比明显减少,两种及以上的高危因素均增多。结论 通过信息管理系统可以快速监控全区高危孕产妇情况。对构成比升高的高危因素和高危评分二级及以上的孕产妇应重点监控,以降低孕产妇死亡率和围产儿死亡率,保障母婴安全。
Objective To observe the management efficacy of electronic management system as well as the variation of high risk factors for pregnant women with high risks in Guangxi from 2010 to 2013. Methods The data of pregnant women with high risks in Guangxi from 2010 to 2013 were analyzed by Guangxi Maternal and Child Health Information Management System,including the establishment of files as well as the variation of high risk factors for pregnant women with high risks in Guangxi. Results The established rates of electronic files for pregnant women and pregnant women with high risks in 2012 and 2013 were 94. 73% and 89. 33%,respectively,which were higher than those in 2010 and 2011( 75. 81% and 61. 81%,respectively)( P〈0. 001). Compared with the risk factors in 2010 and 2011,of the top ten high-risk factors in 2012 and 2013,the factors with increased constituent ratio included hepatitis or liver damage,abnormal fetal position in late pregnancy,cesarean delivery history,artificial or natural abortion for twice,fetal distress,and age ≤18 years or ≥35 years. There was a significant difference in the constituent ratio of high-risk grade for pregnant women between the stage of 2010- 2011 and the stage of2012- 2013( P〈0. 001). The constituent ratio of high-risk grade Ⅰ in the stage of 2010- 2011 was higher than that in the stage of2012- 2013,and the constituent ratio of high-risk grade Ⅱ or above in the stage of 2012- 2013 was significantly higher than that in the stage of 2010- 2011. There was a significant difference in the constituent ratio of high risk number between the stage of 2010- 2011 and the stage of 2012- 2013( P〈0. 001). The constituent ratio of single high risk in 2012 and 2013 decreased obviously,but the constituent ratios of two or more high risks increased. Conclusion The profile of pregnant women over the province can be rapidly surveilled by the information management system. The high-risk factors with increased constituent ratio and the pregnant women with high-risk grade Ⅱ or above should be monitored intensively so as to reduce the maternal mortality and perinatal mortality as well as guarantee the safety of mother and baby.
出处
《广西医学》
CAS
2015年第9期1258-1261,共4页
Guangxi Medical Journal
基金
广西医药卫生科研课题(Z2012209)
关键词
高危妊娠
高危因素
电子管理系统
广西
High-risk pregnancy
High-risk factor
Electronic management system
Guangxi