“全面二孩”政策后收治ICU的产科危重症患者临床特点分析

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Abstract ObjectiveTo analyze the clinical features of critical patients in obstetric department admitted into intensive care unit(ICU)after　“universal two-child” policy.MethodsFrom January 2016 to April 2017,61 critical patients in obstetric departmentadmitted into ICU were divided into the advanced age group　(n=22)and non-advanced age group(n=39).The gestationalweeks,newborn weight,neonatal survival,frequency of cesarean section,postpartum hemorrhage,the cause of admission into ICU,APACHE IIscore,SOFA score,the treatment time in ICU,main treatmentmeasures in ICU,and hospitalization expenseswere compared between the two groups.ResultsThe proportion of “two-child” in the advanced age group was higher than that of the non-advanced age group(P＜0.01).APACHE Ⅱ score in the advanced age group was significantly higher than that in the non-advanced age group with a statistical difference　(P＜0.05).The treatment time in ICU in the advanced age group was longer(P＜0.01),and plasma exchange rate and hemodiafiltration rate were greatly higher than those in the non-advanced age group　(P＜0.05,P＜0.01).There was no significant difference in the ventilator utilization between the two groups(P＞0.05).The incidence of postpartum hemorrhage in the advanced age group was obviously higher than that of the non-advanced age group,and plasma infusion volume of in the advanced age group wasmuch higher than that in the non-advanced age group with a statistical difference(P＜0.05).The hospitalization cost of the advanced age group was higher than that of the non-advanced age group with a significant difference(P＜0.05).ConclusionCompared with non-advanced age pregnant women,those in advanced age have a higher risk of critical diseases and postpartum hemorrhage,more use of plasma products,longer ICU stay,and moremedical costs.Early admission to ICU for supervision and treatment in these critically ill pregnant women can improve their clinical outcomes and reducemedical expenses.

Key words： “Universal two-child&rdquo policy;Advanced age;Critically ill pregnantwomen;Intensive care

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	LAN Yun-ping
	ZENG Fan
	LIJia-jia
	LEIYu
	HUANG Xiao-bo

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LAN Yun-ping,ZENG Fan,LIJia-jia, et al. Clinical characteristics analysis of critical patients in obstetric department adm itted into the ICU after “universal two-child”policy[J]. 中国当代医药, 2018, 25(16): 4-7.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I16/4

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