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目的分析妊娠合并心脏病死亡孕产妇情况及死因,为提出针对性干预措施,降低孕产妇死亡率提供依据。方法对郑州市2006-2015年因妊娠合并心脏病死亡的22例孕产妇相关资料进行回顾性分析。结果 2006-2015年郑州市孕产妇妊娠合并心脏病死亡人数占孕产妇死亡总数的11.11%,心脏病死因素率为2.10/10万,心脏病死因专率由2006-2010年的2.47/10万下降至2011-2015年的1.78/10万。22例合并心脏病构成中,以先天性心脏病(45.45%)、围生期心肌病(18.18%)和风湿性心脏病(13.64%)居前3位。农村妊娠合并心脏病死亡率(2.75/10万)高于城市(1.02/10万)(χ~2=3.893 P=0.048),初中及以下文化程度者占72.73%,家庭年人均收入4 000元以下者占59.09%,产检小于5次者占77.27%,常规服药和定期随访的仅占9.09%,可避免死亡主要归因于个人家庭知识技能态度(87.50%)和县级医疗保健机构知识技能及管理(12.50%)。结论郑州市2006-2010年妊娠合并心脏病是孕产妇死亡的主要原因,要加强健康教育及孕产妇系统管理,增强孕产妇保健意识,提高医务人员技能水平,加强多学科协作,控制妊娠合并心脏病孕产妇死亡的发生。
Objective To analyze the maternal death and the cause of death from pregnancy complicated with heart disease and provide the basis for putting forward targeted interventions and reducing the maternal mortality rate. Methods The data of 22 pregnant women who died of pregnancy complicated by heart disease during 2006-2015 in Zhengzhou were analyzed retrospectively. Results The number of pregnant women with pregnancy-associated heart disease in Zhengzhou from 2006 to 2015 accounted for 11.11% of the total number of maternal deaths and the rate of heart-disease death was 2.10 / 100000. The rate of heart-disease death causes decreased from 2.47 / 100000 in 2006-2010 To 1.78 / 100,000 in 2011-2015. Of the 22 patients with concomitant heart disease, congenital heart disease (45.45%), perinatal cardiomyopathy (18.18%) and rheumatic heart disease (13.64%) ranked the top three. (2.75 / 100000) was higher than that of city (1.02 / 100000) (χ ~ 2 = 3.893 P = 0.048), with 72.73% of junior middle school education and below, and annual per capita income of family 4000 yuan Accounting for 59.09%, accounting for 77.27% less than 5 times, accounting for only 9.09% of regular medication and regular follow-up. The avoidable death was mainly attributed to individual family knowledge and skills attitude (87.50%) and county-level healthcare institutions knowledge and skills And management (12.50%). Conclusions Pregnancy complicated with heart disease during pregnancy in 2006-2010 is the main cause of maternal death in Zhengzhou City. It is necessary to strengthen health education and maternal system management, raise awareness of maternal health care, improve medical staff skills, strengthen multidisciplinary collaboration and control pregnancy complicated with heart disease The incidence of maternal death in pregnant women.