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目的为进一步做好“降低孕产妇死亡,消除新生儿破伤风”项目(“降消”项目)工作,提高驻县蹲点专家工作效果提供科学依据。方法对2012年广西自治区“降消”项目驻县蹲点专家工作进行总结与分析,评估专家工作完成情况,规范项目管理。结果 2012年驻县专家参与危重孕产妇抢救的成功率达100%,较2006年提高,抢救成功率呈逐年上升趋势(χ2=15.202,P=0.019)。2012年孕产妇死亡率16.51/10万,较2006年明显下降,降幅达37.33%。年度发生率呈逐年下降趋势,经比较差异有统计学意义(χ2=33.462,P=0.00)。结论驻县蹲点专家提高了县乡两级产科质量和规范县级产科急救中心转诊网络,降低孕产妇死亡率,有必要坚持开展驻县蹲点专家指导工作,整合人力资源,发挥专家优势,形成长效机制。
Objective To provide scientific evidence for further improving the work efficiency of experts in the county by reducing the maternal mortality and eliminating neonatal tetanus project. Methods The author summarizes and analyzes the experts’ work in the Guangxi Autonomous Region during the “cancellation” project in 2012, evaluates the completion of the expert work and standardizes the project management. Results The success rate of resident experts stationed in the county in 2012 was 100%, which was higher than that of 2006. The success rate of rescue was increasing year by year (χ2 = 15.202, P = 0.019). The maternal mortality rate in 2012 was 16.51 / 100,000, down noticeably from 2006, a drop of 37.33%. Annual incidence showed a downward trend year by year, with significant difference (χ2 = 33.462, P = 0.00). Conclusions Experts in the county have improved the quality of obstetrics and gynecology at both county and township levels and regulated the referral network of obstetrics and gynecology emergency centers at county level to reduce the maternal mortality rate. It is necessary to persevere in the guidance of experts in the county and to integrate human resources and give play to the advantages of experts Long-term mechanism.