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目的针对河南省2013年孕产妇保健情况进行综合分析,评价河南省18个省辖市孕产妇保健发展情况和优劣程度。方法运用秩和比法(Rank Sum Ratio,简称RSR法)综合分析和评价高危产妇比重、建卡率、系统管理率、产前检查率、产后访视率、孕产妇死亡率(1/10万)、住院分娩率、新法接生率8项指标。结果济源市、安阳市、三门峡市、郑州市的孕产妇保健工作质量相对较好;鹤壁市、新乡市、平顶山市、濮阳市、漯河市、信阳市、许昌市、开封市、焦作市、洛阳市、周口市共11个地市的情况较为一般;商丘市、南阳市、驻马店市情况相对较差。整体上经济发展水平较好的城市孕产妇保健情况优于经济水平略差的城市。结论运用RSR法能够直观明了地看出河南省各地市孕产妇保健工作质量的优劣程度,为制定有针对性的孕产妇保健措施提供参考依据。
Aim To aim at the comprehensive analysis of maternal health status in Henan Province in 2013, evaluate the maternal health development and the advantages and disadvantages of 18 provincial cities in Henan Province. Methods The Rank Sum Ratio (RSR) method was used to analyze and evaluate the proportion of high-risk maternal women, card rate, system management rate, prenatal rate, postpartum visit rate and maternal mortality rate ), Hospital delivery rate, birth rate of 8 new indicators. Results The quality of maternal health care in Jiyuan, Anyang, Sanmenxia and Zhengzhou was relatively good; Hebi City, Xinxiang City, Pingdingshan City, Puyang City, Luohe City, Xinyang City, Xuchang City, Kaifeng City, Jiaozuo City, Luoyang City, Zhoukou City, a total of 11 cities in the more general situation; Shangqiu City, Nanyang City, Zhumadian relatively poor situation. The overall situation of maternal health in urban areas with better economic development is better than that with slightly worse economic levels. Conclusion The RSR method can intuitively and clearly see the quality of maternal health care in all parts of Henan Province, and provide a reference for the development of targeted maternal health measures.