家庭医师责任制对社区高龄孕妇并发症与妊娠结局的影响研究

Study on effect of family physician responsibility system on complications and pregnancy outcomes of community elderly parturient

目的探讨家庭医师责任制对社区高龄孕妇并发症与妊娠结局的影响。方法选取我服务中心2015年1月至2016年1月建档的200名高龄孕妇作为研究对象,随机将其等分为观察组和对照组,观察组给予家庭医师责任制干预服务,对照组给予常规健康教育。比较两组产妇妊娠和分娩期并发症发生率及妊娠结局情况。结果观察组孕妇妊娠期高血压、妊娠期糖尿病、胎膜早破、产后出血、晚期流产、围产期感染发生率低于对照组,比较差异有统计学意义(P<0.05);观察组和对照组均未发生孕产妇死亡,但观察组自然分娩率高于于对照组,比较差异有统计学意义(P<0.05);观察组孕妇难产发生率低于对照组(P<0.05)。结论运用家庭医师责任制对社区高龄孕妇进行管理,可降低其妊娠和分娩期并发症的发生率,促进良好妊娠结局,值得临床推广应用。

Objective To investigate the effect of family physician responsibility system on complications and pregnancy outcomes of community elderly parturient. Methods To compared the status of incidence and outcome of pregnancy and delivery complications,200 community elderly parturient registered in our service center from January 2015 to January 2016 were observed,and randomly divided into study group and control group with equal number.The study group adopted the family physician responsibility system intervention,while the control group adopted the routine health education. Results The incidence of gestational hypertension,gestational diabetes,premature rupture of membranes,postpartum hemorrhage,late abortion,and perinatal infection were lower in the study group than those in the control group,and the difference between the two groups was statistically significant（ P〈0. 05）. No maternal death occurred in study group or control group. The natural delivery rate of the study group was higher than that of the control group,and the difference between the two groups has statistical significance（ P〈0. 05）. The incidence of dystocia was lower in the study group than in the control group（ P〈0. 05）.Conclusion The application of family physician responsibility system on the management of community elderly parturient could reduce the incidence of complications during pregnancy and delivery period,which could bring out ideal pregnant outcome. It was worthy of clinical promotion and application.