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目的:探讨中山市妊娠期高血压疾病防治措施对改善母婴妊娠结局的效果,评价其可行性和有效性。方法:采用行政干预、技术培训和基层督导相结合方式,不断建立健全对妊娠期高血压疾病的防控体系。同时对2006～2009年中山市妇幼保健院妊娠期高血压疾病例整群抽样,分析防控措施实施过程中母婴妊娠结局等相关情况的动态变化。结果:中山市2006～2009年妊娠期高血压疾病发病率、重度子痫前期发病率和孕产妇各类并发症的发病率均呈逐年下降趋势,尤其流动人口妊高病的发病率下降幅度较大。孕产妇死亡率(P=0.027)和产后出血率(P=0.001)动态变化趋势有统计学意义,各类围产儿结局的发病率均呈下降趋势,死胎死产率(P=0.001)和新生儿窒息率(P=0.006)的下降趋势有统计学意义。结论:中山市妊娠期高血压疾病防控措施在降低发病率和改善母婴妊娠结局方面起到良好的效果,可为完善中山市高危妊娠防控措施提供参考依据。
Objective: To investigate the effect of prevention and treatment of gestational hypertension in Zhongshan on the improvement of maternal and child pregnancy outcomes, and to evaluate its feasibility and effectiveness. Methods: Using the combination of administrative intervention, technical training and grassroots supervision, the prevention and control system of hypertensive disorder complicating pregnancy was continuously established and perfected. At the same time, Zhongshan City Maternal and Child Health Hospital 2006-2009 cases of hypertensive disorders in pregnancy sampling, analysis of prevention and control measures in the implementation of maternal and child pregnancy outcomes and other related dynamic changes. Results: The incidences of hypertensive disorders, severe preeclampsia and various types of complications of pregnant women in Zhongshan during 2006 ~ 2009 showed a declining trend year by year. In particular, the incidence rate of pregnancy-induced hypertension in floating population declined more than 2006 Big. The trends of maternal mortality (P = 0.027) and postpartum hemorrhage (P = 0.001) were statistically significant. The incidences of all kinds of perinatal children showed a decreasing trend, the stillbirth stillbirth rate (P = 0.001) Children with asphyxia (P = 0.006) decreased the trend was statistically significant. Conclusion: The prevention and control measures of gestational hypertension in Zhongshan have a good effect in reducing the morbidity and improving the maternal and fetal pregnancy outcomes, which may provide reference for improving the prevention and control measures of high-risk pregnancy in Zhongshan.