改良早期预警评分联合快速反应系统在重度子痫前期患者中的应用效果
Application effect of modified early warning scoring combined with rapid response system on patients with severe preeclampsia
仲蓉蓉 1韩艳1
作者信息
- 1. 南京医科大学附属南京医院南京市第一医院产科,江苏南京 210006
- 折叠
摘要
目的 探讨改良早期预警评分(MEWS)联合快速反应系统(RRS)对重度子痫前期(SPE)患者的应用效果.方法 采集南京市第一医院产科2019年5月至2021年6月收治的252例SPE患者的临床资料,将2019年5月至2020年6月急诊就诊行RRS干预的126例SPE患者作为对照组,将2020年7月至2021年6月急诊就诊行MEWS联合RRS干预的126例SPE患者作为干预组.比较两组实施救治时间、终止妊娠孕龄、分娩方式、住院时间、并发症发生情况及围生儿结局.结果 干预组实施救治时间、住院时间短于对照组,终止妊娠孕龄、自然分娩占比高于对照组(P＜0.05).干预组HELLP综合征、胎盘早剥、肝肾损伤、产后出血发生率低于对照组(P＜0.05);两组静脉血栓栓塞发生率比较,差异无统计学意义(P＞0.05).干预组胎儿早产、胎儿窘迫、新生儿窒息、低体重儿发生率低于对照组(P＜0.05);两组围生儿病死率比较,差异无统计学意义(P＞0.05).结论 MEWS联合RRS可提高SPE患者实施救治速度,缩短住院时间,降低并发症发生率,改善患者妊娠结局及围生儿结局,临床应用效果较佳.
Abstract
Objective To explore the application effect of modified obstetric early warning scoring(MEWS)combined with rapid response system(RRS)in patients with severe preeclampsia(SPE).Methods Clinical data of 252 patients with SPE admitted to Department of Obstetrics,Nanjing First Hospital from May 2019 to June 2021 were collected.One hundred and twenty-six patients with SPE underwent emergency RRS intervention from May 2019 to June 2020 were selected as control group,and 126 patients with SPE underwent emergency MEWS combined with RRS inter-vention from July 2020 to June 2021 were selected as intervention group.Treatment time,gestational age at termination,delivery mode,hospitaliza-tion time,incidence of complications,and perinatal outcome between two groups were compared.Results Treatment time and hospitalization time in intervention group were shorter than those in control group,gestational age at termination and percentage of natural delivery in intervention group were higher than those in control group(P＜0.05).The incidence of HELLP syndrome,placental abruption,liver and kidney injury and postpartum hemorrhage in intervention group were lower than those in control group(P＜0.05).There was no significant difference in the incidence of venous thromboembolism between two groups(P＞0.05).The incidence of premature delivery,fetal distress,neonatal asphyxia,and low birth weight in in-tervention group were lower than those in control group(P＜0.05).There was no significant difference in the mortality rate of perinatal infants be-tween two groups(P＞0.05).Conclusion MEWS combined with RRS can improve the speed of treatment for SPE patients,reduce hospitalization time,reduce the incidence of complications,and improve pregnancy and perinatal outcomes.The clinical application effect is relatively good.
关键词
重度子痫前期/改良早期预警评分/快速反应系统Key words
Severe preeclampsia/Modified early warning scoring/Rapid response system引用本文复制引用
出版年
2024
NETL
NSTL
万方数据