基层医院建立产科快速反应团队在产后出血的临床研究

Clinical Study on the Establishment of Obstetric Rapid Response Team in Primary Hospitals in Postpartum Hemorrhage

目的 评估在基层医院建立快速反应团队对产后出血患者救治效率、缩短抢救时间的临床价值。方法 采用前瞻性对照研究,以2021年我院分娩的1669例中发生产后出血实施常规干预的34例患者为对照组,以2022年5月至2023年10月分娩的2203例中发生产后出血实施快速反应团队干预的患者34例为研究组,比较两组救治效果、出血量、止血时间、并发症发生率。结果 观察组救治总有效率高于对照组(97.06%vs. 76.47%,P=0.012),产后出血量少于对照组[(114.26±10.22)ml vs.(196.45±14.23)ml,P<0.001],止血时间短于对照组[(30.22±2.45)min vs.(43.02±4.11)min,P<0.001],并发症发生率低于对照组(5.88%vs.23.53%,P=0.040)。结论 基层医院建立快速反应团队作为产后出血的一种标准化干预形式,快速反应流程、继续训练与教育在抢救过程中具备良好效用性及可行性,为产后出血的救治提供新的途径和理论依据。

Objective To assess the clinical value of establishing a rapid response team in primary hospitals on the efficiency of postpartum hemorrhage patients and shortening the rescue time.Methods A prospective controlled study was used,in which 34 patients with 1699 cases of postpartum hemorrhage of middle-incidence delivered in our hospital in 2021 who were subjected to conventional intervention were taken as the control group,and 34 patients with 2203 cases of postpartum hemorrhage of middle-incidence delivered from May 2022 to October 2023 who were subjected to the intervention of rapid-response team were taken as the study group.The outcome of treatment,bleeding volume,hemostasis time,and complication rate were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group(97.06%vs.76.47%,P=0.012),the amount of postpartum hemorrhage was less than that in the control group[(114.26±10.22)ml vs.(196.45±14.23)ml,P<0.001],and the time for hemostasis was shorter than that in the control group[(30.22±2.45)min vs.(43.02±4.11)min,P<0.001],and the complication rate was lower than that of the control group(5.88%vs.23.53%,P=0.040).Conclusions The establishment of a rapid response team in primary hospitals as a standardized form of intervention for postpartum hemorrhage,the rapid response process,continuing training and education have good utility and feasibility in the process of resuscitation,and provide a new way and theoretical basis for the treatment of postpartum hemorrhage.