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目的:对商丘市孕产妇合并内科疾病现状进行调查研究,制定科学分娩方式,进一步为缩减孕产妇死亡率提供有力依据。方法:基于商丘市第一人民医院妇幼保健综合管理信息平台,对商丘的孕妇首次建卡、孕妇复查、孕妇合并症等情况开展分析。选择2016年1月-2016年12月时间段分娩的2000例孕产妇,对孕产妇合并内科疾病现状开展回顾性分析。结果:2000例孕产妇中,妊娠合并内科疾病382例,占19.10%。其中,妊娠合并贫血260例,占13.00%;妊娠期高血压疾病64例,占3.20%;妊娠期合并糖尿病28例,占1.40%;妊娠合并病毒性肝炎18例,占0.90%;妊娠期合甲状腺疾病28例,占0.15%;妊娠期合并阑尾炎2例,占0.10%;妊娠期合并心脏病2例,占0.10%;妊娠期合并胆囊炎2例,占0.15%;妊娠期合并子宫肿瘤1例,占0.05%;妊娠期合并肾盂肾炎1例,占0.05%。结论:规范孕产妇全面系统保健管理,推进临床不同学科、不同部门交流协调,提高综合救治水平,是缩减孕产妇死亡率的关键。
Objective: To investigate the current status of maternal combined medical diseases in Shangqiu, formulate scientific modes of delivery and further provide a strong basis for reducing maternal mortality. Methods: Based on the information platform of integrated management of maternal and child health in First People’s Hospital of Shangqiu City, this paper analyzed the first card of pregnant women in Shangqiu, the review of pregnant women and the complications of pregnant women. A total of 2000 maternal women who gave birth during the period from January 2016 to December 2016 were retrospectively analyzed on the status of maternal combined medical diseases. Results: Among the 2000 pregnant women, 382 cases of pregnancy complicated with medical diseases accounted for 19.10%. Among them, anemia in pregnancy with 260 cases, accounting for 13.00%; 64 cases of hypertensive disorders in pregnancy, accounting for 3.20%; 28 cases of pregnancy with diabetes mellitus, accounting for 1.40%; 18 cases of pregnancy with viral hepatitis, accounting for 0.90%; pregnancy combined Thyroid disease in 28 cases, accounting for 0.15%; 2 cases of pregnancy complicated with appendicitis, accounting for 0.10%; 2 cases of pregnancy complicated by heart disease, accounting for 0.10%; 2 cases of pregnancy with cholecystitis, accounting for 0.15%; pregnancy with uterine cancer 1 Cases, accounting for 0.05%; 1 case of pyelonephritis during pregnancy, accounting for 0.05%. Conclusion: It is the key to reducing the maternal mortality rate by standardizing maternal comprehensive system health management, promoting clinical different disciplines, exchanging and coordinating different departments and raising the level of comprehensive treatment.