中国妇幼健康研究2013，Vol.24Issue(3)：310-312,350,4.DOI:10.3969/j.issn.1673-5293.2013.03.012
农村地区产后出血防治模式探讨
Exploring prevention and treatment model of postpartum hemorrhage in rural area
宋波 1李丽娟 1吴久玲 1苏穗青1
作者信息
- 1. 中国疾病预防控制中心妇幼保健中心,北京,100089
- 折叠
摘要
Abstract
Objective To explore an effective and suitable prevention and treatment model for postpartum hemorrhage ( PPH) in rural areas. Methods A prospective study method was adopted . Comprehensive intervention measures on management and technical service were implemented in target hospitals. The comparison of the changes on related indicators of PPH prevention and treatment before and during the intervention was made so as to evaluate the effect of the relevant prevention and treatment model . Results The prevention and treatment model of PPH was established , and the management system of prevention and treatment for PPH was developed and improved . The screening ability of the grassroots staff for PPH risk factors was improved , and the detection rate of PPH risk factor increased from 7. 94% in baseline survey to 39. 57% during the implementation of research (χ2=147. 34, P < 0. 001). The early recognition ability of grassroots staff for PPH was enhanced , and PPH reporting rate increased from 0. 39% to 1. 17% (χ2= 19. 37, P < 0. 001). The application rate of the appropriate treatment technology for PPH increased , and the treatment ability of grassroots staff for PPH was improved . The maternal mortality due to PPH declined from 36. 67% in the baseline survey to 9. 09% during the implementation of research , and the difference was not significant (P = 0. 128). Conclusion It is effective and suitable to establish a comprehensive prevention and treatment model of PPH focusing on the enhancement of management and technical service for the prevention and treatment of PPH in rural area.关键词
农村/产后出血/防治/模式Key words
rural area/ postpartum hemorrhage ( PPH) / prevention and treatment / model分类
医药卫生引用本文复制引用
宋波,李丽娟,吴久玲,苏穗青..农村地区产后出血防治模式探讨[J].中国妇幼健康研究,2013,24(3):310-312,350,4.
