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目的探讨家庭医生责任制管理对高龄产妇妊娠合并症及妊娠结局的影响。方法选择深圳市坪山新区人民医院辖区78例高龄孕产妇为研究对象,以随机数字表法分组,观察组39例,对照组39例,对照组孕产妇接受门诊随诊保健,观察组孕产妇接受家庭医生责任制模式管理,对两组孕产妇妊娠合并症及妊娠结局进行观察。结果观察组孕产妇妊娠合并症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组孕产妇流产、剖宫产、早产及新生儿窒息发生率均较对照组低,两组差异有统计学意义(P<0.05)。结论家庭医生责任制管理模式可降低高龄产妇妊娠合并症发生率,也能改善妊娠结局,值得临床推广。
Objective To explore the effect of family doctor responsibility system on pregnancy complications and pregnancy outcome in elder mothers. Methods Seventy-eight elderly pregnant women in the People’s Hospital of Pingshan New District of Shenzhen City were selected as the research objects. The patients in the observation group were divided into three groups: 39 cases in the observation group and 39 cases in the control group. The pregnant women in the control group received outpatient follow- Family doctor responsibility system management, the two groups of pregnant women with pregnancy complications and pregnancy outcomes were observed. Results The incidence of pregnancy complications in observation group was significantly lower than that in control group (P <0.05). The incidences of abortion, cesarean section, premature birth and neonatal asphyxia in observation group were lower than those in control group, The difference between the two groups was statistically significant (P <0.05). Conclusion Family doctor responsibility management system can reduce the incidence of pregnancy complications in older mothers, but also improve pregnancy outcome, which is worthy of clinical promotion.