摘要
目的:探讨重度子痫前期/子痫患者硫酸镁的应用情况,针对存在的问题提出改进措施。方法:收集孕产妇死亡率较高的河南某县2005年7月～2007年8月所有开展助产技术服务的医疗保健机构的重度子痫前期/子痫住院病例,对其病历资料进行分析,制定硫酸镁规范化应用基本标准,评价其服务质量。结果:257例产妇中有226例应用硫酸镁解痉,仅54例(23.89%)达到硫酸镁规范化应用基本标准。应用不规范的主要原因是:应用不及时(42.92%);副反应监护不全面(42.04%);静脉点滴维持速度超过标准范围(36.72%)。结论:研究地区医务人员在规范应用硫酸镁治疗重度子痫前期/子痫病例中存在明显不足,有待进一步提高以促进母婴健康。
Objective：To explore the application situation of Magnesium Sulfate among the patients with severe preeclampsia and eclampsia,put forward to improve measures targeting the problems. Methods：The cases with severe preeclampsia and eclampsia were collected from the medical health care institutions which carried out midwifery technique service in a county with high maternal mortality from July 2005 to August 2007,the medical data were investigated,the basic criterion of standard application of Magnesium Sulfate was formulated,and the quality of service was evaluated. Results：Among 257 case,226 cases applied Magnesium Sulfate to relieve spasm,only 54 cases（23.89%） reached the basic criterion of standard application of Magnesium Sulfate.The main causes of nonstandard application of Magnesium Sulfate included untimely application（42.92%）,incompletely monitoring of adverse reactions（42.04%）,and fast maintaining speed of intravenous drip compared with standard range（36.72%）. Conclusion：There is obvious deficiency in application of Magnesium Sulfate for severe preeclampsia and eclampsia among the medical staff in the region,further improvements are needed to promote maternal and infantile health.
出处
《中国妇幼保健》
CAS
北大核心
2012年第14期2193-2195,共3页
Maternal and Child Health Care of China
关键词
重度子痫前期
子痫
孕产妇
硫酸镁
Severe preeclampsia
Eclampsia
Pregnant and lying-in women
Magnesium Sulfate
