摘要
目的研究产科急危重病例救治方法及其母婴结局。方法回顾性选取2016年11月至2019年11月我院产科急危重产妇100例,依据救治方法分为多学科协作组(50例)和常规性救治组(50例),统计分析2组产妇的抢救结果、分娩方式、产后并发症、围产儿结局。结果2组产妇的抢救成功率100.0%(50/50)和98.0%(49/50)、病死率0、2%(1/50)之间的差异均无统计学意义(P>0.05)。多学科协作组产妇的剖宫产率、60.0%(30/50)、产钳分娩率2%(1/50)均显著低于常规性救治组82%(41/50)、8%(4/50)(P<0.05),平产分娩率38%(19/50)显著高于常规性救治组10%(5/50)(P<0.05)。多学科协作组产后并发症发生率为6%(3/50),低于常规性救治组为12%(6/50),差异有统计学意义(P<0.05)。多学科协作组围产儿不良结局发生率为18%(9/50),低于常规性救治组为28%(14/50),差异有统计学意义(P<0.05)。结论产科急危重病例针对性救治较常规性救治更能有效改善母婴结局。
Objective To study the treatment of acute and critical cases in obstetrics and its outcomes.Methods One hundred cases of acute and critical women in our hospital from November 2016 to November 2019 were retrospectively selected and divided into two groups:multidisciplinary collaboration group(n=50)and routine treatment group(n=50).The rescue results,delivery methods,postpartum complications,perinatal outcomes of the two groups were statistically analyzed.Results The differences of rescue rates,mortality rates between the two groups 100.0%(50/50),0 vs 98%(49/50),2%(1/50)were not significant(P>0.05).The cesarean section rate and forceps delivery rate of the multidisciplinary collaboration group 60%(30/50),2%(1/50)were significantly lower than those of the routine treatment group 82%(41/50),8%(4/50)(P<0.05),the birth rate 38%(19/50)was significantly higher than that of the routine treatment group 10%(5/50)(P<0.05).In terms of incidence of postpartum complications,the multidisciplinary collaboration group was 6%(3/50)and the routine treatment group was 12%(6/50),the former was significantly lower than the latter(P<0.05).In terms of incidence of adverse perinatal outcomes,the multidisciplinary collaboration group was 18%(9/50)and the routine treatment group was 28%(14/50),the former was significantly lower than the latter(P<0.05).Conclusion Targeted treatment of acute and critical cases in obstetrics is more effective in improving maternal and infant outcomes than routine treatment.
作者
李春霞
Li Chunxia(Department of Obstetrics,Dezhou Maternal and Child Health Hospital,Shandong 253000,China)
出处
《山西医药杂志》
CAS
2020年第9期1074-1076,共3页
Shanxi Medical Journal
关键词
产科
急危重病例
救治方法
母婴结局
Obstetrics
Critically ill cases
Treatment methods
Maternal and infant outcomes
