影响产程图临床应用的相关因素分析

Analysis of Related Factors Affecting the Clinical Application of Partogram

产程图作为描述产程进展的标准化图形,自提出以来,不断发展演变,其目的是更好地帮助医务人员识别产程中出现的问题,并根据临床管理方案采取干预措施,降低母婴不良结局的发生。但产程图是复杂多变的,理论上的最佳实践干预措施与临床实际操作存在差距。通过对产程图临床应用的研究进展进行回顾并综述,探讨产程图自身因素、医务人员专业技能、孕妇、社会环境、组织背景、经济和政治背景等因素对产程图在临床中有效应用的影响。医务人员应准确识别这些影响因素,正确评估产程图在产科中的地位,并依赖新兴技术将产程图进行改善和优化,从而使产程图得到更好的应用并服务于临床工作。

As a standardized graph depicting the process of production,the birth chart has evolved since its introduction,whose purpose is to better help medical staff to identify problems in the labor process,and to take interventions according to the clinical management program to reduce the occurrence of poor mother and child outcomes.But the partogram is complex and changeable,there is a gap between the theoretical best practice interventions and clinical practice.This article reviews and summarizes the research progress in the clinical application of partogram,and explore the effects of partogram factors,medical personnel professional skills,pregnant women,social environment,organizational background,economic and political background on the effective application of partogram in clinic.Medical staff should accurately identify these influencing factors,correctly assess the status of partogram in obstetrics,and rely on emerging technology to improve and optimize partogram,so that the partogram can be applied better and served the clinical work.