高危妊娠的管理与分析(1)
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[摘要] 目的：浅析高危妊娠的因素，采取积极治疗措施，实行安全分娩，保障母儿健康。方法：查阅、统计原始登记、回顾性分析2009年9月1日～2010年9月1日在本院住院的孕妇中筛查出的高危孕妇了解其高危的发生、治疗及转归的全过程。结果：住院总人数948例，筛查出的高危孕妇436例。安全分娩424例(其中剖宫产分娩288例，自然分娩136例)，均母子平安。2例转上级医院治疗，9例治愈后出院继续妊娠。1例行死胎引产。结论：对住院后筛查出的高危孕妇经过系统的管理，应及时有效地采取干预措施，控制高危因素发展，保障母儿健康，减少围生期发病率和死亡率。
[关键词] 高危妊娠；高危因素；筛查；转归
[中图分类号] R714.2 [文献标识码] C [文章编号] 1674-4721(2011)11(c)-170-02
Analysis of the high-risk pregnancy management
CUI Liping, FAN Shuhua, WEI Ying
Comprehensive Division on Family-planning of Health Management Centre Affiliated to Tiefa Energy Company With Limited liability, Liaoning Province, Tiefa 112700, China
[Abstract] Objective: To analysis the factors of high-risk pregnancy, and to take active measures, practice safe delivery, in order to ensure the health of the mother and baby. Methods: Referd to the original registration and statistics, retrospective analyzed from September 1, 2009 to September 1, 2010 in our hospital screening out of pregnant women, and understood the high-risk happen at risk of pregnant women, treatment and outcome of the whole process. Results: The total number had 948 cases, screening out the high risk pregnant women were 436 cases. Safe delivery had 424 cases (among them, section 288 cases of childbirth, natural birth were 136 cases), the mother and baby all safety. 2 cases turn superior hospital for treatment, 9 cases were cured and released continue to pregnancy. 1 case routine induced labor stillbirth. Conclusion: After the screening on hospital of the high risk pregnant women after system management, timely and effective intervention, control risk factors for development, guarantee the pregnany and health. Reduce the perinatal period morbidity and mortality.
[Key words] High-risk pregnancy; Risk factors; Screening; Outcome
高危妊娠是在妊娠期因某种并发症或致病因素可能危害孕妇、胎儿与新生儿或导致难产者。高危妊娠并不是单一的疾病，其范围几乎涉及了整个病理产科。
1 资料与方法
1.1 一般资料
资料来源根据本院2009年9月1日～2010年9月1日患者出入院登记簿及高危妊娠登记簿进行统计分析。
1.2 诊断方法
患者入院后进行相关检查，按辽宁省卫生厅监制的高危妊娠产前评分标准，根据产妇的一般情况、异常产史、严重内科合并症、本次妊娠异常情况、致畸因素、社会因素、妊娠合并性病6个方面涵盖的62项异常情况中筛查出高危孕妇。主要检查包括如下几方面：
1.2.1 常规全身检查 包括：身高、体重、生命体征、皮肤颜色、心肝脾肺肾脏器等检查。
1.2.2 产科检查 包括腹围、宫底高度、胎先露、胎位、胎心、骨盆测量，必要时可行肛诊等检查。
1.2.3 辅助检查 包括血常规、血型、尿常规、B超等。
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