产科现场急救表格化、同质化管理在孕产妇危急重症救治中的应用价值分析

Analysis of the Application Value of Tabulated and Homogenized Management of the On-site First Aid of Obstetrics and Gynecology in the Treatment of Critical Care of Pregnant and Postpartum Women

目的分析产科现场急救表格化、同质化管理在孕产妇危急重症救治中的影响。方法选用2019年2月至2021年12月接受救治的危急重症孕产妇共59例,分为两组,对照组为2019年2月至2020年5月全市助产机构救治的30例未实施表格化、同质化管理的危急重症孕产妇,观察组为2020年6月至2021年12月全市助产机构救治的29例实施表格化、同质化管理的危急重症孕产妇,比较指标差异。结果两组救治成功率、并发症发生率、非计划再次手术率之间差异,均不存在明显差异(P>0.05);观察组均次费用明显少于对照组,观察组住院时间明显短于对照组(P<0.05)。结论产科现场急救表格化、同质化管理在孕产妇危急重症救治中可确保最佳救治时机,缩短救治时间、降低救治费用。

Objective:In order to analyze the impact of tabulated and homogenized management of the on-site obstetric emergency in the treatment of critical and severe pregnant women.Method:A total of 59 critical and severe pregnant women who received treatment from February 2019 to December 2021 were selected and divided into two groups.The control group included 30 critically ill pregnant women treated by midwifery institutions in the city from February 2019 to May 2020 who had not implemented tabulated and homogenized management,and the observation group included 29 critically ill pregnant women treated by midwifery institutions in the city from June 2020 to December 2021 who had implemented tabulated and homogenized management.And compare the differences between indicators.Result:There were no significant differences in success rate of treatment,complication rate and unplanned reoperation rate between the two groups(P>0.05).The average cost of the observation group was significantly lower than that of the control group,and the length of hospitalization in the observation group was significantly shorter than that of the control group(P<0.05).Conclusion:The formalization and homogenization of the on-site emergency management in obstetrics can ensure the best treatment opportunity,shorten the treatment time and reduce the cost of treatment in the critical treatment of pregnant women.