高危妊娠筛查评分方法的制定及应用研究(1)
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【中图分类号】R715.3【文献标识码】A【文章编号】1005-2720(2009)15-0560-02
【摘要】目的：探讨高危妊娠筛查评分方法的制定及应用，以提高高危妊娠筛出率和干预率，从而降低孕产妇、新生儿和5岁以下儿童的死亡率。方法：制定高危妊娠筛查的评分标准、完善高危妊娠管理的工作流程。结果：应用SPSS 12.0统计应用软件，经Chi-Square Test分析，高危妊娠筛查评分方法的制定及应用前、后3年的高危孕产妇筛出率、孕产妇保健数、孕产妇死亡率、新生儿死亡率比较，差异有显著性意义。经Fisher’s Exact Test分析，项目实施后宁阳县与同级县市的孕产妇死亡率相比较具有显著性差异。结论：高危妊娠筛查评分方法的制定及应用后，高危妊娠筛出率逐年提高，孕产妇和新生儿死亡率均显著降低。
【关键词】高危妊娠；筛查评分；应用
Score method of screening high-risk pregnancy and the development of applied research.Zhang Cuiling1，Dong Jinxiang1，Wang Sujun1，Fang Xiaoli2.(1The maternal and child health care hospital of Ningyang，Shandong 271400，China；2Wendeng orthopedic hospital)
【Abstract】Objective：Explore the high-risk pregnancy screening score of the formulation and application methods to enhance the rate of high-risk pregnancy screening and intervention rates，thereby reducing maternal，newborn and children under age 5 mortality rates.Methods：The development of high-risk pregnancy screening criteria and improve the high-risk pregnancy management workflow.Results：Application of Statistics SPSS 12.0 application software，the Chi-Square Test analysis，high-risk pregnancy screening method of scoring the formulation and application of pre-and post-high-risk three-year rate of maternal screening，the number of maternal health，maternal mortality，neonatal mortality，the difference was significant.By Fisher’s exact test analysis，after the implementation of the project counties and cities Ningyang and maternal mortality rate at the same level compared with significant difference.Conclusion：High-risk pregnancy screening score of the formulation and application methods，the high-risk pregnancy screening rate year-on-year increase in maternal and neonatal mortality were significantly reduced.
【Key Words】High-risk pregnancy；Screening score；Application
高危妊娠是指在妊娠期有某种并发症、合并症或致病因素可能危害孕妇、胎儿及新生儿或导致难产者[1]，除直接影响母婴健康外，也是导致孕产妇和围产儿死亡的主要原因。我国监测资料显示，在覆盖10亿人口的247个监测点孕产妇死亡率平均774/10万，农村为954/10万[2]。做好孕期保健工作可以预防妊娠期疾病，促进母儿健康，对孕母及胎儿所出现的异常状况可以及早发现、及早诊治[3]。为此，探讨高危妊娠筛查评分方法的制定及应用，从而提高孕产妇保健数和高危妊娠筛出率，降低高危孕产妇数、孕产妇死亡率和新生儿死亡数具有重要的现实意义和社会意义。2004年1月，针对我县地处农村地域的具体情况，我院成立了课题组 ......
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