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预防医学  2022, Vol. 34 Issue (6): 637-640    DOI: 10.19485/j.cnki.issn2096-5087.2022.06.018
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
2015—2020年杭州市危重孕产妇监测结果
姜李媛, 陈晓雯, 朱旭红
杭州市妇产科医院(杭州市妇幼保健院)妇女保健部,浙江 杭州 310008
Surveillance of maternal near miss in Hangzhou City from 2015 to 2020
JIANG Liyuan, CHEN Xiaowen, ZHU Xuhong
Department of Women Healthcare, Hangzhou Women's Hospital (Hangzhou Maternal and Child Health Hospital), Hangzhou, Zhejiang 310008, China
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摘要 目的 了解2015—2020年杭州市危重孕产妇发生情况和危重症类型,为危重孕产妇的早期识别和干预提供参考。方法 通过国家危重孕产妇监测网络直报系统收集2015—2020年杭州市5家医院的危重孕产妇资料,描述性分析危重孕产妇发生率、死亡率、妊娠合并症/并发症和危重症类型。结果 2015—2020年杭州市5家监测医院收治住院孕产妇230 490人,活产数182 514人,患妊娠合并症/并发症177 428例,危重孕产妇1 790例,年均发生率为0.98%;其中2019年危重孕产妇发生率较高,为1.18%。院内孕产妇死亡率为3.29/10万,死亡指数为0.33%,2018—2020年无孕产妇死亡。危重孕产妇主要妊娠合并症/并发症为贫血、产科出血性疾病和妊娠高血压,发生率分别为79.33%、69.83%和16.65%。孕产妇危重症主要为凝血功能障碍、心血管功能障碍和呼吸功能障碍,发生率分别为87.23/万、20.44/万和9.70/万。结论 2015—2020年杭州市危重孕产妇发生率较高,孕产妇院内死亡率有所下降;孕产妇危重症主要为凝血功能障碍,需加强对贫血和出血性疾病的防治。
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姜李媛
陈晓雯
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关键词 危重孕产妇妊娠并发症凝血功能障碍    
AbstractObjective To investigate the prevalence and types of maternal near miss in Hangzhou City from 2015 to 2020, so as to provide insights into early identification and interventions for maternal near miss. Methods The data of maternal near miss in 5 hospitals of Hangzhou City from 2015 to 2020 were collected from China's National Maternal Near Miss Obstetrics Surveillance System, and the incidence and mortality of maternal near miss, types of pregnancy-related complications/comorbidities and types of critical illness were descriptively analyzed. Results Totally 230 490 pregnant and lying-in women were recruited in 5 hospitals in Hangzhou City from 2015 to 2020, and there were 182 514 live births, 177 428 women with pregnancy-related complications/comorbidities, and 1 790 cases of maternal near miss with a 0.98% annual incidence rate. The incidence of maternal near miss was high in 2019 (1.18%). The hospital mortality and death index were respectively 3.29/105 and 0.33% among pregnant and lying-in women from 2015 to 2020, and there was no death found among pregnant and lying-in women from 2018 to 2020. The main pregnancy-related complications/comorbidities included anemia (79.33%), obstetric hemorrhagic disorders (69.83%), and gestational hypertension (16.65%). The main critical illness among maternal near miss included coagulation dysfunction (87.23/104), cardiovascular dysfunction (20.44/104), and respiratory dysfunction (9.70/104). Conclusions The incidence of maternal near miss was high and the hospital mortality appeared a reduction tendency among pregnant and lying-in women in Hangzhou City from 2015 to 2020. Coagulation dysfunction is the primary critical illness among maternal near miss, and the management of anemia and hemorrhagic diseases requires to be improved.
Key wordsmaternal near miss    pregnancy-related complication    coagulation dysfunction
收稿日期: 2021-12-22      修回日期: 2022-03-28      出版日期: 2022-06-10
中图分类号:  R173  
基金资助:杭州市卫生科技计划项目(0020190040)
作者简介: 姜李媛,硕士,主治医师,主要从事妇女健康群体管理工作
通信作者: 姜李媛,E-mail:16971893@qq.com   
引用本文:   
姜李媛, 陈晓雯, 朱旭红. 2015—2020年杭州市危重孕产妇监测结果[J]. 预防医学, 2022, 34(6): 637-640.
JIANG Liyuan, CHEN Xiaowen, ZHU Xuhong. Surveillance of maternal near miss in Hangzhou City from 2015 to 2020. Preventive Medicine, 2022, 34(6): 637-640.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.06.018      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I6/637
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