改良风险预警评估管理对改善高危妊娠产妇围产结局的价值
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摘要
目的探讨改良风险预警评估管理对改善高危妊娠产妇围产结局的价值。方法选取某院2015年12月至2017年12月期间收治的80例高危妊娠产妇,按照随机数字表的方法分为观察组(n=40)和对照组(n=40),对照组实施常规高危评估管理,观察组则予以改良风险预警评估管理,比较两组产妇的围产结局和新生儿并发症,同时评定两组产妇的爱丁堡产后抑郁量表(EPDS)及对临床工作满意度。结果观察组剖宫产率低于对照组(P<0.05),顺产率高于对照组(P<0.05),产后出血率、新生儿并发症发生率低于对照组(P<0.05),差异有统计学意义;观察组EPDS量表评分低于对照组(P<0.05),对临床工作满意度高于对照组(P<0.05),差异均有统计学意义。结论改良风险预警评估管理对改善高危妊娠产妇围产结局具有积极的影响,且减少和避免了新生儿并发症的出现,故具推广优势。
Objective To explore the effect of improved risk early warning and assessment management on improving perinatal outcome of high-risk pregnant women. Methods 80 high risk pregnant women in our hospital from December 2015 to December 2017 were divided into the observation group(n=40) and the control group(n=40)according to the random number table. The control group carried out the routine high risk assessment management.The observation group gave the improved risk early warning management and compared the perinatal outcome of the two groups of parturients. Neonatal complications, At the same time, the Edinburgh postnatal depression scale(EPDS) and clinical work satisfaction of two groups were evaluated. Results The cesarean section rate of the observation group was lower than that of the control group(P<0.05), The eutocia rate was higher than that of the control group(P<0.05), the rate of postpartum hemorrhage, neonatal complication rate was lower than those of the control group(P<0.05), the difference was statistically significant. EPDS rating scale of the Observation group was lower than that of the control group(P<0.05), the clinical job satisfaction was higher than that of the control group(P<0.05), the difference was statistically significant. Conclusion The improved risk early warning and assessment management has a positive effect on the perinatal outcome of high risk pregnant women, reduces and avoids the emergence of neonatal complications, so it has a promotion advantage.
Objective To explore the effect of improved risk early warning and assessment management on improving perinatal outcome of high-risk pregnant women. Methods 80 high risk pregnant women in our hospital from December 2015 to December 2017 were divided into the observation group(n=40) and the control group(n=40)according to the random number table. The control group carried out the routine high risk assessment management.The observation group gave the improved risk early warning management and compared the perinatal outcome of the two groups of parturients. Neonatal complications, At the same time, the Edinburgh postnatal depression scale(EPDS) and clinical work satisfaction of two groups were evaluated. Results The cesarean section rate of the observation group was lower than that of the control group(P<0.05), The eutocia rate was higher than that of the control group(P<0.05), the rate of postpartum hemorrhage, neonatal complication rate was lower than those of the control group(P<0.05), the difference was statistically significant. EPDS rating scale of the Observation group was lower than that of the control group(P<0.05), the clinical job satisfaction was higher than that of the control group(P<0.05), the difference was statistically significant. Conclusion The improved risk early warning and assessment management has a positive effect on the perinatal outcome of high risk pregnant women, reduces and avoids the emergence of neonatal complications, so it has a promotion advantage.
引文
[1]许伟荣.卡贝缩宫素/卡前列素氨丁三醇联合地塞米松防治高危妊娠产妇产后出血的临床观察[J].中国药房,2014(12):1084-1086.
[2]吕芳,吴结英,郑杏珊,等.妊娠高危评分与母婴预后之间的关系及高危因素分布特点研究[J].现代医学,2016,(5):643-648.
[3]朱仁祝,陈爱娥,俞如葵,等.强化高危妊娠管理对妊娠结局及新生儿的影响[J].江苏医药,2018,44(2):224-225.
[4]李志敏.风险预警评估管理模式在高危妊娠产妇管理中的应用[J].齐鲁护理杂志,2018,24(11):103-105.
[5]MARKOVIC T P,MUIRHEAD R,OVERS S,ET AL.RANDOMIZEDCONTROLLED TRIAL INVESTIGATING THE EFFECTS OF ALOW-GLYCEMIC INDEX DIET ON PREGNANCY OUTCOMES INWOMEN AT HIGH RISK OF GESTATIONAL DIABETES MELLITUS:THE GI BABY 3 STUDY[J].DIABETES CARE,2016,39(1):31-38.
[6]GULERIA K,SINGH A,JAIN S.EVALUATION OF RISK FACTORS,TRIGGERS,AND MATERNAL EARLY WARNING SYSTEM TOPREDICT OBSTETRIC MORBIDITY IN LOW RESOURCE COUNTRY[J].CHEST,2017,152(4):A581.
[7]李红雨,王丹,罗园,等.重庆市沙坪坝区危重孕产妇风险预警体系运行评估研究[J].中国实用妇科与产科杂志,2017(9):945-948.
[8]盛群英.妊娠风险预警评估管理模式在高危妊娠管理中的应用[J].检验医学,2016,(B11):73-74.
[9]胡丽娜.二孩政策下高危孕产妇风险预警体系构建的思考[J].中国实用妇科与产科杂志,2017,33(1):52-54.
[10]敖英其其格,阿依尼沙汗·依明,丁桂凤.3853例高危妊娠相关危险因素临床分析[J].山西医药杂志,2017,46(1):67-68.
[11]董晓静,常青,李力,等.重庆市危重孕产妇预警管理、救治和转诊系统构建与实施[J].中国实用妇科与产科杂志,2017,(5):539-543.
[12]何亚琴.妊娠高血压疾病产妇产前心理情绪状态及其影响因素调查研究[J].实用预防医学,2016,23(5):606-607.
[13]郭秀花.高危妊娠危险因素分析及预防[J].环球中医药,2015,(S1):280-281.
[14]郑云英,陈兵,曹春珠,等.干预高危产妇产后出血的危险因素对预防产后出血的效果[J].中国妇幼保健,2016,31(24):5318-5320.
[15]朱仁祝,陈爱娥,俞如葵,等.强化高危妊娠管理对妊娠结局及新生儿的影响[J].江苏医药,2018,(2):224-225.
[16]张立新,孙静,陈俊梅,等.多学科合作诊疗系统治疗孕妇心理问题诱发的躯体功能障碍临床回顾性研究[J].中国妇幼健康研究,2017,28(5):514-516.
[17]宋志慧,高秀江,徐蔷,等.负性心理状态对足月胎膜早破的产妇及婴儿健康指标的影响[J].中国煤炭工业医学杂志,2017,20(4):485-488.
[18]郭秀花.高危妊娠危险因素分析及预防[J].中国实用医药,2016,(2):280-281.
[2]吕芳,吴结英,郑杏珊,等.妊娠高危评分与母婴预后之间的关系及高危因素分布特点研究[J].现代医学,2016,(5):643-648.
[3]朱仁祝,陈爱娥,俞如葵,等.强化高危妊娠管理对妊娠结局及新生儿的影响[J].江苏医药,2018,44(2):224-225.
[4]李志敏.风险预警评估管理模式在高危妊娠产妇管理中的应用[J].齐鲁护理杂志,2018,24(11):103-105.
[5]MARKOVIC T P,MUIRHEAD R,OVERS S,ET AL.RANDOMIZEDCONTROLLED TRIAL INVESTIGATING THE EFFECTS OF ALOW-GLYCEMIC INDEX DIET ON PREGNANCY OUTCOMES INWOMEN AT HIGH RISK OF GESTATIONAL DIABETES MELLITUS:THE GI BABY 3 STUDY[J].DIABETES CARE,2016,39(1):31-38.
[6]GULERIA K,SINGH A,JAIN S.EVALUATION OF RISK FACTORS,TRIGGERS,AND MATERNAL EARLY WARNING SYSTEM TOPREDICT OBSTETRIC MORBIDITY IN LOW RESOURCE COUNTRY[J].CHEST,2017,152(4):A581.
[7]李红雨,王丹,罗园,等.重庆市沙坪坝区危重孕产妇风险预警体系运行评估研究[J].中国实用妇科与产科杂志,2017(9):945-948.
[8]盛群英.妊娠风险预警评估管理模式在高危妊娠管理中的应用[J].检验医学,2016,(B11):73-74.
[9]胡丽娜.二孩政策下高危孕产妇风险预警体系构建的思考[J].中国实用妇科与产科杂志,2017,33(1):52-54.
[10]敖英其其格,阿依尼沙汗·依明,丁桂凤.3853例高危妊娠相关危险因素临床分析[J].山西医药杂志,2017,46(1):67-68.
[11]董晓静,常青,李力,等.重庆市危重孕产妇预警管理、救治和转诊系统构建与实施[J].中国实用妇科与产科杂志,2017,(5):539-543.
[12]何亚琴.妊娠高血压疾病产妇产前心理情绪状态及其影响因素调查研究[J].实用预防医学,2016,23(5):606-607.
[13]郭秀花.高危妊娠危险因素分析及预防[J].环球中医药,2015,(S1):280-281.
[14]郑云英,陈兵,曹春珠,等.干预高危产妇产后出血的危险因素对预防产后出血的效果[J].中国妇幼保健,2016,31(24):5318-5320.
[15]朱仁祝,陈爱娥,俞如葵,等.强化高危妊娠管理对妊娠结局及新生儿的影响[J].江苏医药,2018,(2):224-225.
[16]张立新,孙静,陈俊梅,等.多学科合作诊疗系统治疗孕妇心理问题诱发的躯体功能障碍临床回顾性研究[J].中国妇幼健康研究,2017,28(5):514-516.
[17]宋志慧,高秀江,徐蔷,等.负性心理状态对足月胎膜早破的产妇及婴儿健康指标的影响[J].中国煤炭工业医学杂志,2017,20(4):485-488.
[18]郭秀花.高危妊娠危险因素分析及预防[J].中国实用医药,2016,(2):280-281.