基于多学科医护合作培训及应急演练在二级综合医院危重孕产妇救治的应用价值

Application value of multidisciplinary medical cooperation training and emergency drills in the treatment of critically ill pregnant women in secondary general hospitals

目的探讨基于多学科医护合作培训及应急演练在二级综合医院危重孕产妇救治中的应用价值。方法选取2019年6月至2020年5月于东莞市黄江医院采取多学科医护合作培训及应急演练的127名医护人员作为观察组,另选取2018年6月至2019年5月未采取多学科医护合作培训及应急演练的127名医护人员作为对照组。观察组采用多学科医护合作培训及应急演练,对照组采用传统应急演练及培训工作,比较两组理论成绩、技能操作考核成绩和危重孕产妇情况及两组危重孕产妇救治情况。结果观察组理论成绩、技能操作考核成绩均高于对照组,差异有统计学意义(P<0.05)。对照组危重孕妇占比7.23%,观察组危重孕妇占比7.70%;观察组剖宫产手术到胎儿娩出的时间短于对照组,差异有统计学意义(P<0.05)。两组孕产妇死亡率比较差异无统计学意义;观察组转诊例数、严重并发症发生率及新生儿死亡率均低于对照组,差异有统计学意义(P<0.05)。结论多学科医护合作培训及应急演练可保障母婴安全,降低新生儿死亡率及严重并发症发生率,缩短剖宫产手术到胎儿娩出的时间,值得临床推广应用。

Objective To explore the application value of multidisciplinary medical cooperation training and emergency drills in the treatment of critically ill pregnant women in secondary general hospitals.Methods 127 medical workers who had taken multidisciplinary medical coopera-tion training and emergency drills in Dongguan Huangjiang Hospital from June 2019 to May 2020 were selected as the observation group,and 127 medical workers who had not taken multidisciplinary medical cooperation training and emergency drills from June 2018 to May 2019 were selected as the control group.The observation group adopted multidisciplinary medical cooperation training and emergency drill,and the control group ad-opted traditional emergency drill and training,the theoretical results,skill operation assessment results,critical pregnant women and the treatment of critical pregnant women in the two groups were compared.Results The theoretical scores and skill operation assessment scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The proportion of critical pregnant women in the control group was 7.23%,and the proportion of critical pregnant women in the observation group was 7.70%;the time from cesarean section to fetal delivery in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in maternal mortality between the two groups;the number of referral cases,the incidence of serious complica-tions and neonatal mortality in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Multidisciplinary medical cooperation training and emergency drills can ensure maternal and child safety,reduce neonatal mor-tality and the incidence of serious complications,and shorten the time from cesarean section to fetal delivery,and is worthy of clinical promotion and application.