中国当代医药2018，Vol.25Issue(16)：4-7,4.
"全面二孩"政策后收治ICU的产科危重症患者临床特点分析
Clinical characteristics analysis of critical patients in obstetric department admitted into the ICU after "universal two-child" policy
摘要
Abstract
Objective To analyze the clinical features of critical patients in obstetric department admitted into intensive care unit (ICU) after "universal two-child" policy.Methods From January 2016 to April 2017,61 critical patients in obstetric department admitted into ICU were divided into the advanced age group (n=22) and non-advanced age group (n=39).The gestational weeks,newborn weight,neonatal survival,frequency of cesarean section,postpartum hemorrhage,the cause of admission into ICU,APACHE II score,SOFA score,the treatment time in ICU,main treatment measures in ICU, and hospitalization expenses were compared between the two groups.Results The proportion of "two-child" in the advanced age group was higher than that of the non-advanced age group (P＜0.01).APACHE Ⅱ score in the advanced age group was significantly higher than that in the non-advanced age group with a statistical difference (P＜0.05).The treatment time in ICU in the advanced age group was longer (P＜0.01),and plasma exchange rate and hemodiafiltration rate were greatly higher than those in the non-advanced age group (P＜0.05,P＜0.01).There was no significant difference in the ventilator utilization between the two groups (P＞0.05).The incidence of postpartum hemorrhage in the advanced age group was obviously higher than that of the non-advanced age group,and plasma infusion volume of in the advanced age group was much higher than that in the non-advanced age group with a statistical difference (P＜0.05).The hospitalization cost of the advanced age group was higher than that of the non-advanced age group with a significant difference (P＜0.05).Conclusion Compared with non-advanced age pregnant women,those in advanced age have a higher risk of critical diseases and postpartum hemorrhage,more use of plasma products,longer ICU stay,and more medical costs.Early admission to ICU for supervision and treatment in these critically ill pregnant women can improve their clinical outcomes and reduce medical expenses.关键词
"全面二孩"政策/高龄/危重症孕产妇/重症监护Key words
"Universal two-child" policy/Advanced age/Critically ill pregnant women/Intensive care分类
医药卫生引用本文复制引用
兰蕴平,曾帆,黎嘉嘉,雷雨,黄晓波.."全面二孩"政策后收治ICU的产科危重症患者临床特点分析[J].中国当代医药,2018,25(16):4-7,4.基金项目
四川省医学会医学科研课题计划(S16072) （S16072）
