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目的:探讨重度子痫前期/子痫患者硫酸镁的应用情况,针对存在的问题提出改进措施。方法:收集孕产妇死亡率较高的河南某县2005年7月～2007年8月所有开展助产技术服务的医疗保健机构的重度子痫前期/子痫住院病例,对其病历资料进行分析,制定硫酸镁规范化应用基本标准,评价其服务质量。结果:257例产妇中有226例应用硫酸镁解痉,仅54例(23.89%)达到硫酸镁规范化应用基本标准。应用不规范的主要原因是:应用不及时(42.92%);副反应监护不全面(42.04%);静脉点滴维持速度超过标准范围(36.72%)。结论:研究地区医务人员在规范应用硫酸镁治疗重度子痫前期/子痫病例中存在明显不足,有待进一步提高以促进母婴健康。
Objective: To investigate the application of magnesium sulfate in patients with severe preeclampsia / eclampsia and to propose the improvement measures for the existing problems. Methods: The hospitalized cases of severe preeclampsia / eclampsia were collected from all health-care institutions that carried out midwifery technical services in a county of Henan Province with a high maternal mortality rate from July 2005 to August 2007, Development of magnesium sulfate standardized application of basic standards, evaluation of their service quality. Results: Of the 257 maternal women, 226 cases applied magnesium sulfate to spasm. Only 54 cases (23.89%) met the basic standard of magnesium sulfate standardization. The main reasons for the non-standard application are: not timely application (42.92%); incomplete side-monitoring (42.04%); intravenous drip maintenance rate exceeded the standard range (36.72%). Conclusion: There is a clear deficit in the standardization of magnesium sulfate in the treatment of severe preeclampsia / eclampsia in the study area, which needs to be further improved to promote maternal and infant health.