东莞市危重症孕产妇急救网络的实施及评价

目的观察网络急救应用于救治东莞市危重症孕产妇的效果,探讨网络急救在妇产科急救中的应用价值。方法通过对2005-2012年东莞市孕产妇死亡率的回顾性对照研究,分析孕产妇死亡率在东莞市危重症孕产妇急救网络成立前后的变化、孕产妇死亡原因构成比的变化与导致孕产妇死亡的主要原因。结果实施危重症孕产妇急救网络前5年（2005-2009年）的平均死亡率为42.2/100 000,实施后3年（2010-2012年）平均死亡率为17.8/100 000,二者比较差异有统计学意义（P〈0.01）。产科直接原因是导致孕产妇死亡最主要的原因。结论东莞市自建立急救网络后,孕产妇死亡率明显下降,组建与完善产科急救网络,可有效降低孕产妇生产风险,该项方案实施有利于保障母婴平安和促进优生优育。

Implementation and Evaluation of Emergency Network for Critically ill Pregnant and Lying-in Women in Dongguan City

Objective To observe the effect of emergency network for critically ill pregnant and lying-in women in Dongguan City and explore its application value of emergency aid in obstetrics and gynecology. Method The retrospective controlled study of maternal mortality from 2005 to 2012 in Dongguan City was to analyze changes of maternal mortality in critically ill pregnant and lying-in women before and after the establishment of emergency network, changes of constituent ratio of their death and main reasons for death of critically ill pregnant and lying-in women. Results The average mortality rate was 42.2/100 000 from 2005 to 2009 before the establishment of emergency network for critically ill pregnant and lying-in women, but after its implementation, the average mortality rate reduced to 17.8/100 000 in three years; and the difference was statistically sig- nificant （P〈0.01）. Direct obstetric causes were the main reasons for the death of pregnant and lying-in women. Conclusion Since the emergency network was established in Dongguan, the maternal mortality rate has decreased significantly. The formation and improvement of emergency network in the obstetrical department can effectively reduce the risk of maternal delivery and this program helps to protect the safety of mother and baby and can promote the eugenic plan.