“基于模糊化理论的重度产后出血个体化诊疗系统软件”应用效果

Application effect of the software on“Individualized Diagnosis and Treatment System for Severe Postpartum Hemorrhage Based on Fuzzy Theory”

目的:探讨“基于模糊化理论的重度产后出血个体化诊疗系统软件”应用效果。方法:选择东南大学医学院附属江阴医院2015年1月—2017年12月179例重度产后出血产妇资料,利用“基于模糊理论的重度产后出血个体化诊疗系统”回顾性分析发生产后出血的等级、原因及占比,与临床实际符合情况。结果:179例中,低度风险6例(3.4%),中度风险13例(7.3%),高度风险48例(27.0%),极高度风险112例(62.6%)。临床出血原因主要是宫缩乏力、胎盘因素、软产道损伤等。本系统分析发生宫缩乏力(76.0%)多于临床实际(62.6%),胎盘因素(12.8%)少于临床实际(24.6%)(P<0.05),软产道损伤(10.6%)、凝血功能障碍(2,8%)与临床实际(10.1%、2.8%)未见差异(P>0.05)。剖宫产产妇的风险等级及极高风险等级的出血量(1302±658ml)均高于自然分娩产妇(P<0.05)结论:该系统可较全面分析、预判重度产后出血的原因、风险等级,评估不同分娩方式产妇的风险等级和出血程度,具有一定临床参考价值。

Objective:To explore the application effect of the software on“Individualized Diagnosis and Treatment System for Severe Postpartum Hemorrhage Based on Fuzzy Theory”.Methods:The data of 179 women with severe postpartum hemorrhage from January 2015 to December 2017 in the affiliated Jiangyin hospital of southeast university medical college were selected.The grade,cause,and proportion of postpartum hemorrhage of these women were retrospectively analyzed by the software on“individualized diagnosis and treatment system for severe postpartum hemorrhage based on fuzzy theory”,and analytic results were compared with those in clinical practice.Results:In the 179 women with severe postpartum hemorrhage,6(3.4%)women were in low risk,13(7.3%)women were in moderate risk,48(27.0%)women were in high risk,and 112(62.6%)women were in very high risk.The main causes of clinical hemorrhage were uterine atony,placental factors,soft birth canal injury,and so on.76.0%parturient women with uterine inertia diagnosed by this software was significant more than that(62.6%)of the clinical reality situation(P<0.05),but 12.8%parturient women with placental factors diagnosed by this software was significant less than that(24.6%)of the clinical reality situation(P<0.05).There were no significant difference in soft birth canal injury rate(10.6%vs.10.1%)and coagulation dysfunction rate(2.8%vs.2.8%)between diagnosed by this software and that of clinical reality situation(P>0.05).The risk grade of women with cesarean and bleeding volume(1302±658 ml)of women with very high risk grade and cesarean were significant higher than those of women with natural delivery(P<0.05).Conclusion:“Individualized diagnosis and treatment system for severe postpartum hemorrhage based on fuzzy theory”can comprehensively analyze and predict the cause and risk grades of severe postpartum hemorrhage,and can evaluate the risk grades and bleeding degree of women with different delivery modes,so it has certain clinical value.