北京市某三级医院产科基本监测指标分析

Analysis of Obstetric Monitoring Indicators of a Tertiary Hospital in Beijing

目的了解产科供给资源服务和安全质量情况,促进产科医疗质量提高。方法对某院2016年1月1日-2019年12月31日产科出院患者病例数据信息共计21090例进行统计分析。结果四年间某院产科出院病例总体呈上升趋势,顺产、剖宫产产妇构成比呈上升趋势,各种原因流产产妇构成比略有下降。剖宫产分娩组产妇平均年龄有随年度递增的趋势,顺产分娩组平均年龄(27.89±3.01)低于剖宫产分娩组(31.02±4.10)和流产组(29.12±4.85)。4年间顺产组(r=-1.025,P<0.05)和流产组(r=-1.012,P<0.05)的平均住院日呈降低趋势,顺产组(r=1.011,P<0.05)和剖宫产组(r=1.018,P<0.05)以及流产组(r=0.956,P=0.028)的平均住院费用均有上升趋势。结论针对产科监测指标的分布特点,医院应有针对性地采取一系列措施,降低剖宫产率,同时加强对住院费用和住院日的管理。

Objective To analyze the situation of obstetric delivery in a tertiary hospital in Beijing in the past four years,to understand the situation of obstetric supply resource service and safety quality,so as to improve the quality of obstetric care.Methods spss21.0 software was used to analyze the data of obstetric discharge patients from January 1,2016 to December 31,2019.Results In the past four years,the constituent ratio of parturients undergoing spontaneous delivery and cesarean section is on the rise,the proportion of parturients who gave birth(i.e.normal delivery)and cesarean section showed an upward trend,and the proportion of parturients who had miscarriage for various reasons slightly decreased.The average age of parturients in the cesarean delivery group increased with the year,and the average age of parturients in the normal delivery group(27.89±3.01)was lower than that in the cesarean delivery group(31.02±4.10)and the abortion group(29.12±4.85).During the four years,the average hospitalization days of the patients in the normal delivery group(r=-1.025,P<0.05)and the cesarean section group(r=-1.012,P<0.05)decreased.The average hospitalization expenses of the patients in the normal delivery group,the cesarean section group(r=1.018,P<0.05)and the abortion group(r=0.956,P=0.028)increased.Conclusion According to the distribution characteristics of obstetric monitoring indicators,the hospital should take a series of targeted measures to reduce the rate of cesarean section on the regular training,while strengthening the management of hospitalization costs and length of stay.