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目的观察高危孕产妇电子管理系统的管理效果以及2010~2013年广西高危孕产妇高危因素的变化情况。方法利用广西妇幼卫生信息管理系统对2010~2013年的广西高危产妇资料进行分析,包括广西孕产妇及高危孕产妇建档情况及其高危因素的变化情况。结果 2012年、2013年孕产妇建档率和高危孕产妇电子建档率分别为94.73%、89.33%,均高于2010年、2011年的75.81%、61.81%(P<0.001)。与2010~2011年比较,在2012~2013年的前10位高危因素中,构成比升高的是肝炎或肝损害、孕晚期胎位异常、剖宫产史、人工或自然流产2次、胎儿窘迫、年龄≤18岁或≥35岁。2010~2011年高危孕产妇的高危评分分级构成比与2012~2013年比较,差异有统计学意义(P<0.001),2010~2011年高危评分一级的构成比高于2012~2013年,而2012~2013年高危评分二级及以上的构成比则明显高于2010~2011年。2012~2013年的各种高危因素发生数量构成比与2010~2011年比较,差异有统计学意义(P<0.001),2012~2013年的单一高危因素的构成比明显减少,两种及以上的高危因素均增多。结论通过信息管理系统可以快速监控全区高危孕产妇情况。对构成比升高的高危因素和高危评分二级及以上的孕产妇应重点监控,以降低孕产妇死亡率和围产儿死亡率,保障母婴安全。
Objective To observe the management effect of high-risk maternal electronic management system and the changes of high risk maternal risk factors in Guangxi during 2010-2013. Methods Guangxi maternal and child health information management system was used to analyze the data of high-risk maternal in Guangxi from 2010 to 2013, including the situation of maternal filing and high-risk maternal risk in Guangxi. Results In 2013, the filing rate of pregnant women and the electronic filing rates of high-risk pregnant women were 94.73% and 89.33% respectively in 2013 and 2012, both higher than 75.81% and 61.81% (P <0.001) in 2010 and 2011 respectively. Compared with 2010-2011, among the top 10 risk factors from 2012 to 2013, the constituent ratio increased were hepatitis or liver damage, fetal abnormality in the third trimester, history of cesarean section, 2 times of artificial or spontaneous abortion, fetal distress , Age ≤ 18 years old or ≥ 35 years old. The risk grade scores of high-risk pregnant women from 2010 to 2011 were significantly different from those of 2012-2013 (P <0.001), and the proportions of the first-grade high-risk score from 2010 to 2011 were higher than those from 2012 to 2013 The proportions of the second-level and above high-risk scores from 2012 to 2013 were significantly higher than those from 2010 to 2011. The proportions of the various risk factors in 2012 ~ 2013 were significantly different from those in 2010 ~ 2011 (P <0.001), and the proportions of single risk factors in 2012 ~ 2013 were obviously decreased. The proportions of two or more High-risk factors are increased. Conclusion The information management system can quickly monitor the situation of high-risk pregnant women in the whole region. On the composition of the higher risk factors and high-risk score two or more pregnant women should focus on monitoring to reduce maternal mortality and perinatal mortality and protect the safety of mothers and children.