[1]陳麗春,謝培坤,余倩,等.改良休克指數(shù)與妊娠期高血壓病患者產(chǎn)后出血相關(guān)性研究[J].福建醫(yī)藥雜志,2022,44(01):8-11.
CHEN Lichun,XIE Peikun,YU Qian,et al.Study of relationship between MSI and postpartum hemorrhage in patients with HDP[J].FUJIAN MEDICAL JOURNAL,2022,44(01):8-11.
點擊復(fù)制
改良休克指數(shù)與妊娠期高血壓病患者產(chǎn)后出血相關(guān)性研究(
)
《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]
- 卷:
-
44
- 期數(shù):
-
2022年01期
- 頁碼:
-
8-11
- 欄目:
-
臨床研究
- 出版日期:
-
2022-02-15
文章信息/Info
- Title:
-
Study of relationship between MSI and postpartum hemorrhage in patients with HDP
- 文章編號:
-
1002-2600(2022)01-0008-04
- 作者:
-
陳麗春; 謝培坤1; 余倩; 張華樂2
-
福建省婦幼保健院產(chǎn)科(福州350001)
- Author(s):
-
CHEN Lichun; XIE Peikun; YU Qian; ZHANG Huale
-
Fujian Maternity and Child Health Hospital, Fuzhou, Fujian 350001, China
-
- 關(guān)鍵詞:
-
妊娠期高血壓疾病; 產(chǎn)后出血; 改良休克指數(shù)
- Keywords:
-
HDP; postpartum hemorrhage; MSI
- 分類號:
-
R714.24+6
- 文獻(xiàn)標(biāo)志碼:
-
B
- 摘要:
-
目的 探討改良休克指數(shù)(MSI)在妊娠期高血壓患者產(chǎn)后出血的相關(guān)性及應(yīng)用。方法 根據(jù)妊娠期高血壓患者是否發(fā)生產(chǎn)后出血進(jìn)行分組比較，使用診斷時MSI對產(chǎn)后出血進(jìn)行預(yù)測，以ROC曲線驗證預(yù)測模型區(qū)分度。結(jié)果 1381例中共64例患者出現(xiàn)產(chǎn)后出血。兩組患者年齡、臨床診斷、疾病嚴(yán)重程度、分娩孕周、BMI及產(chǎn)次的差異均無統(tǒng)計學(xué)意義(P>0.05)。并發(fā)癥及合并癥，產(chǎn)后出血組僅中央性前置胎盤發(fā)生率高于無產(chǎn)后出血組(P<0.05)。產(chǎn)后出血組MSI高于無產(chǎn)后出血組(0.91±0.12vs. 0.87±0.13，P=0.006)，校正混雜因素后MSI是產(chǎn)后出血獨立危險因素。3個預(yù)測模型ROC曲線下面積分別為0.744、0.758及0.772。結(jié)論 診斷妊娠期高血壓病時的MSI對于患者產(chǎn)后出血具有預(yù)警作用。
- Abstract:
-
Objective To explore the correlation and application of MSI in postpartum hemorrhage with HDP. Methods According to the occurrence of postpartum hemorrhage in GHD, the postpartum hemorrhage was predicted by MSI, and the model differentiation was verified by ROC curve. Results A total of 64 patients had postpartum hemorrhage. There was no statistical difference in age, disease severity, gestational age, BMI and parity between the two groups. Only the incidence of central placenta previa in the postpartum hemorrhage group was higher than that in the control group (P<0.05). The MSI in the postpartum hemorrhage group was higher. It was suggested that MSI was an independent risk factor for postpartum hemorrhage. The AUC of the three prediction models were 0.744, 0.758 and 0.772 respectively. Conclusion MSI in the diagnosis of HDP has an early warning effect on postpartum hemorrhage.
參考文獻(xiàn)/References:
[1] GBD 2015 DALYs and HALE Collaborators. Global，regional，and national disability-adjusted life years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE)，1990-2015: a systematic analysis for the Global Burden of Disease Study 2015 [J]. Lancet，2016，388 (10053): 1603-1658.
[2] Wang I J，Bae B K，Park S W，et al. Pre-hospital modified shock index for prediction of massive transfusion and mortality in trauma patients [J]. Am J Emerg Med，2020，38 (2):187-190.
[3] 楊孜，張為遠(yuǎn). 妊娠期高血壓疾病診治指南(2015) [J]. 中華婦產(chǎn)科雜志，2015，50 (10):721-728.
[4] Main E K，Goffman D，Scavone B M，et al. National Partnership for Maternal Safety: Consensus Bundle on Obstetric Hemorrhage [J]. Obstet Gynecol，2015，126 (1):155-162.
[5] Drew T，Carvalho J，Subramanian C，et al. The association of shock index and haemoglobin variation with postpartum haemorrhage after vaginal delivery: a prosPective cohort pilot study [J]. Int J Obstet Anesth，2021，45:67-73.
[6]Li Y，Wei F F，Wang S，et al. Cardiovascular risks associated with diastolic blood pressure and isolated diastolic hy pertension [J]. Curr Hypertens Rep，2014，16 (11): 4891-4896.
[7] 俎德學(xué)，諸葛毅. 休克指數(shù)和舒張壓與產(chǎn)后出血的相關(guān)性及出血風(fēng)險預(yù)警:附4年病例分析[J]. 中華危重病急救醫(yī)學(xué)，2018，30 (10): 959-963.
[8] 徐暢，李昀暉，張文，等. 子癇前期患者凝血功能變化檢測指標(biāo)及其防治[J]. 實用婦產(chǎn)科雜志，2019，35 (02): 113-116.
備注/Memo
- 備注/Memo:
-
基金項目:福建醫(yī)科大學(xué)大學(xué)生創(chuàng)新創(chuàng)業(yè)訓(xùn)練計劃項目(L21068);福建省婦幼保健院科研基金計劃項目(婦幼 YCXM 19-35);福建省衛(wèi)生健康科研人才培養(yǎng)項目青年科研課題(2019-2-10)
1 福建醫(yī)科大學(xué); 2 通信作者，Email:[email protected]
更新日期/Last Update:
2022-02-15