[1]李雪莲　夏经炜　汤振宇.产科多学科门诊就诊模式对两种产科合并症患者的应用效果评价[J].大众科技,2021,23(9):31-34.
　Evaluation of the Application effect of Obstetric Multidisciplinary Outpatient Service Mode on Patients with Two Obstetric Complications[J].Popular Science & Technology,2021,23(9):31-34.
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产科多学科门诊就诊模式对两种产科合并症 患者的应用效果评价()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
23
期数:
2021年9
页码:
31-34
栏目:
医药与卫生
出版日期:
2021-09-20

文章信息/Info

Title:
Evaluation of the Application effect of Obstetric Multidisciplinary Outpatient Service Mode on Patients with Two Obstetric Complications
作者:
李雪莲　夏经炜　汤振宇
（上海市黄浦区妇幼保健所，上海 200010）
关键词:
产科多学科门诊就诊模式; 妊娠合并症; 高血压
Keywords:
obstetric multidisciplinary outpatient service mode pregnancy complications hypertension
文献标志码:
A
摘要:
目的：探讨产科多学科门诊就诊模式在慢性高血压合并妊娠、妊娠合并血小板减少这两种产科合并症患者管理中的应用效果。方法：选取2016年1月至2019年12月在上海瑞金医院定期产检，诊断为慢性高血压合并妊娠的42例孕妇和诊断为妊娠合并血小板减少症的40例孕妇作为研究对象。研究组为自愿进入产科多学科门诊就诊模式并诊断为慢性高血压合并妊娠的21例孕妇、诊断为妊娠合并血小板减少症的20例孕妇，接受产科多学科门诊就诊模式管理。对照组为根据研究组的病例特征从普通产科门诊筛选出来的配对病例41例。比较研究组和对照组的血压变化情况（血小板变化情况）、分娩孕周、胎儿体重、妊娠风险预警评估的变化情况。结果：两种产科合并症患者在高血压治疗效果、血小板减少治疗效果、患者满意率方面，研究组好于观察组，差异有统计学意义（P<0.05）。在分娩孕周和胎儿体重方面，研究组均好于对照组，但差异无统计学意义（P>0.05）。妊娠合并血小板减少患者的研究组经过治疗妊娠风险预警评估的等级有所下降，优于对照组，差异有统计学意义（P<0.05）。结论:产科多学科门诊就诊模式可提高两种产科合并症患者的治疗效果指标，改善围产结局，并提高患者满意度，值得在医疗机构中推广。
Abstract:
Objective: To explore the application effect of obstetric multidisciplinary outpatient service mode in the management of patients with chronic hypertension complicated with pregnancy and pregnancy complicated with thrombocytopenia. Methods: 42 pregnant women with chronic hypertension and 40 cases of thrombocytopenia were selected as the study subjects from January 2016 to December 2019 in Shanghai Ruijin Hospital, The study group was 21 pregnant women who voluntarily entered the obstetric multidisciplinary outpatient treatment mode and were diagnosed with chronic hypertension complicated with pregnancy and 20 pregnant women diagnosed with pregnancy complicated with thrombocytopenia. The control group was 41 matched cases selected from the general obstetric clinic according to the case characteristics of the study group. The changes of blood pressure (platelet changes), gestational weeks of delivery, fetal weight and pregnancy risk early warning assessment were compared between the study group and the control group. Results: The study group was better than the observation group in the treatment effect of hypertension, thrombocytopenia and the patient satisfaction rate of the two obstetric complications(P<0.05). In terms of gestational weeks and fetal weight, the study group was better than the control group but the difference was not statistically significant (P>0.05). After treatment, the grade of pregnancy risk early warning assessment in the study group with pregnancy complicated with thrombocytopenia decreased, which was better than that in the control group, the difference was statistically significant(P<0.05). Conclusion: The obstetric multidisciplinary outpatient service mode can improve the treatment effect indicators of two obstetric complications, improve perinatal outcomes, and improve patient satisfaction. It is worthy to be popularized in medical institutions.

参考文献/References:

[1] 张彬，陈先侠，陈磊，等. 多学科协作诊疗模式在妇幼保健院危急重孕产妇管理中的实践与探讨[J]. 中国妇幼保健，2017，32(11): 2290-2291. [2] 陈敦金，王海滨，黄琳. 重视产科并发症及合并症对女性全生命周期的影响[J]. 中国实用妇科与产科杂志，2021，37(2): 137-138. [3] 杨孜，张为远. 妊娠期高血压疾病诊治指南(2015)[J]. 中华妇产科杂志，2015，50(10): 721-728. [4] Davis G K, Mackenzie C, Brown M A, et al. Predicting transforma-tion from gestational hypertension to preeclampsia in clinical practice：a possible role for 24 h ambulatory blood pressure monitoring[J]. Hypertens Pregnancy, 2007, 26(1): 77-87. [5] 王佩华. 妊娠合并血小板减少40例的临床分析[J]. 中国城乡企业卫生，2019，34(5): 76-77. [6] 夏霁，颜梦宇，韩凤娟. 卵巢癌中西医结合多学科综合协作诊疗模式新探索[J]. 上海中医药杂志，2020，54(1): 5-8，12. [7] Chen W, Zhen R, Baade P D, et al. Cancer statistics in china, 2015[J]. CA: a Cancer Journal for Clinicians, 2016, 66(2): 115-132.

备注/Memo

备注/Memo:
【收稿日期】2021-06-24 【基金项目】上海市黄浦区科研项目（HKW201630）。 【作者简介】李雪莲（1983－），女，上海市黄浦区妇幼保健所妇保科主治医师，从事产科质量管理工作。 【通信作者】夏经炜（1978－），女，上海市黄浦区妇幼保健所副主任医师，从事妇幼保健和卫生事业管理的研究。
更新日期/Last Update: 2021-12-27