系统性院前急救对急危重症孕产妇救治效果及不良母婴结局的影响

Effect of Systemic Prehospital Emergency Care on the Treatment Effect of Critically Ill Pregnant Women and Adverse Maternal and Infant Outcomes

尚玉红 ¹王景超 ²郑明燕³

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作者信息

1. 257500 山东东营,东营市垦利区垦利街道办事处社区卫生服务中心
2. 250000 山东济南,山东中医药大学
3. 261000 山东潍坊,潍坊市人民医院产科医学中心
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摘要

目的分析系统性院前急救在急危重症孕产妇救治中的应用效果.方法收集2020年5月至2021年5月东营市垦利区垦利街道办事处社区卫生服务中心采取传统院前急救手段的急危重症孕产妇40例为常规院前急救组,另收集2021年6月至2022年6月东营市垦利区垦利街道办事处社区卫生服务中心采取系统性院前急救手段的急危重症孕产妇40例为系统院前急救组.对比两组临床疗效、急救效率、不良妊娠结局和新生儿结局.结果系统院前急救组患者临床有效率为92.50％,显著高于常规院前急救组的72.50％(P＜0.05).系统院前急救组转运时间和接诊时间均短于常规院前急救组(P＜0.001);系统院前急救组意外和纠纷发生率为2.50％,显著低于常规院前急救组的17.50％(P＜0.05);系统院前急救组抢救成功率为95.00％,显著高于常规院前急救组的70.00％(P＜0.05).系统院前急救组不良妊娠结局总发生率为42.50％,显著低于常规院前急救组的67.50％(P＜0.05).出生后1min及5min,系统院前急救组新生儿Apgar评分均显著高于常规院前急救组(1min P＜0.001,5minP＜0.05);系统院前急救组新生儿窒息率和死亡率均显著低于常规院前急救组(新生儿窒息率P=0.043,新生儿死亡率P=0.040).结论系统院前急救可提高急危重症孕产妇的救治率,改善急救效率和母婴结局.

Abstract

Objective To analyze the effectiveness of systematic pre-hospital emergency care in the treat-ment of critically ill pregnant and postpartum women.Methods From May 2020 to May 2021,40 critically ill pregnant and postpartum women treated with traditional pre-hospital emergency methods at our hospital were designated as the traditional pre-hospital emergency group.Another 40 critically ill pregnant and postpartum women treated with systematic pre-hospital emergency methods from June 2021 to June 2022 were designated as the systematic pre-hospital emergency group.Clinical efficacy,emergency efficiency,adverse pregnancy out-comes,and neonatal outcomes were compared between the two groups.Results The clinical efficacy rate in the systematic pre-hospital emergency group was 92.50％,significantly higher than that(72.50％)in the traditional pre-hospital emergency group(P＜0.05).The transportation and reception times were shorter in the systematic pre-hospital emergency group compared to the traditional pre-hospital emergency group(P＜0.001).The incidence of accidents and disputes was 2.50％in the systematic pre-hospital emergency group,significantly lower than that(17.50％)in the traditional pre-hospital emergency group(P＜0.05).The success rate of resuscitation in the systematic pre-hospital emergency group was 95.00％,significantly higher than that(70.00％)in the tradition-al pre-hospital emergency group(P＜0.05).The total incidence of adverse pregnancy outcomes in the systematic pre-hospital emergency group was 42.50％,significantly lower than that(67.50％)in the traditional pre-hospital emergency group(P＜0.05).At 1 minute and 5 minutes after birth,the Apgar scores of newborns in the systematic pre-hospital emergency group were significantly higher than those in the traditional pre-hospital emergency group(lmin P＜0.001,5min P＜0.05).The rates of neonatal asphyxia and mortality were significantly lower in the system-atic pre-hospital emergency group compared to the traditional pre-hospital emergency group(P＜0.05).Conclu-sion Systematic pre-hospital emergency care can improve the treatment success rate for critically ill pregnant and postpartum women,enhance emergency efficiency,and improve maternal and neonatal outcomes.

关键词

急救医学/孕妇/重症监护病房,新生儿

Key words

emergency medicine/pregnant women/intensive care units,neonatal

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出版年

2024

中华灾害救援医学

影响因子：0.796

ISSN：

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