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目的:通过分析产科急救发生的原因及其影响因素,找出降低产科急救发生率,提高抢救成功率的措施,从而降低孕产妇死亡率。方法:分析成都市2010年2 278例产科急救发生原因,找出产科急救网络运行与孕产期保健中存在的问题,提出干预措施。结果:通过加强急救网络建设、加强基层孕产期服务以及加强人员培训等措施完善产科急救可以降低孕产妇死亡率。结论:加强产科急救绿色通道建设,强化孕产期保健服务,完善产科专属ICU建设和增强产科急救人员培训是降低产科急救发生和提高急救成功率的重要干预措施。
OBJECTIVE: To find out the ways to reduce the incidence of obstetric emergencies and improve the success rate of rescue by analyzing the causes of obstetric emergencies and their influencing factors so as to reduce the maternal mortality rate. Methods: To analyze the causes of 2 278 obstetric emergencies in Chengdu in 2010, to find the problems in obstetric emergency network operation and maternal health care, and to propose the intervention measures. Results: Improving maternity first aid can reduce maternal mortality by strengthening emergency network construction, strengthening primary pregnancy and childbirth services and strengthening staff training. Conclusion: It is an important intervention to reduce the incidence of obstetric emergencies and improve the success rate of first aid by strengthening the construction of obstetric emergency green passage, strengthening maternal health care services, improving the construction of obstetric ICU and strengthening the training of obstetric emergency workers.