摘要
目的探究高危妊娠综合管理对改善妊娠结局的效果。方法选取2017年1月至2018年12月北京昌平区医院收治的1000例活产高危妊娠孕产妇,分为对照组(456例)和观察组(544例)。观察组采用系统综合管理,对照组常规产科管理。比较两组孕妇的妊娠结局和母婴并发症发生情况。结果观察组孕产妇剖宫产率、孕期增重值、产后2 h出血量、胎儿窘迫率均低于对照组(P<0.05);观察组孕妇早产率、异常体重儿发生率低于对照组,新生儿Apgar评分优于对照组(P<0.05);观察组新生儿出生3个月的体重增长、呼吸频率及脉搏指标均优于对照组(P<0.05)。结论针对高危妊娠患者,采用综合管理,能够降低母婴并发症,改善妊娠结局,提升母婴生存质量。
Objective To explore the effect of comprehensive management of high-risk pregnancy on improving pregnancy outcomes.Methods From January 2017 to December 2018,1000 pregnant and lying-in women with high risk of live births admitted to Changping District Hospital of Beijing were selected and divided into the control group(456 cases)and the observation group(544 cases).The observation group was treated with systematic comprehensive management and the control group was treated with routine obstetric management.The pregnancy outcomes and complications of mothers and infants in the two groups were compared.Results The cesarean section rate,weight gain during pregnancy,postpartum hemorrhage and fetal distress rate in the observation group were lower than those in the control group(P<0.05);the preterm birth rate and abnormal birth weight rate in the observation group were lower than those in the control group,and the Apgar score in the newborn was better than that in the control group(P<0.05);the weight gain,respiratory rate and pulse index in the observation group were better than those in the control group(P<0.05).Conclusion Comprehensive management can reduce the complications of mother and infant,improve the pregnancy outcome and improve the quality of life of mother and infant for patients with high-risk pregnancy.
作者
陈海燕
CHEN Haiyan(Department of Obstetrics and Gynecology,Changping District Hospital,Beijing 102200,China)
出处
《大医生》
2019年第6期149-151,共3页
Doctor
关键词
高危妊娠
综合管理
妊娠结局
high-risk pregnancy
comprehensive management
pregnancy outcome
