[1]马宏伟张彦李黎林莉盛雨婷刘兴会.阴道分娩产后出血的持续改进[J].中国卫生质量管理,2022,29(05):10-12.[doi:10.13912/j.cnki.chqm.2022.29.5.03 ]
　MA Hongwei,ZHANG Yan,LI Li.Continuous Improvement of Postpartum Hemorrhage after Vaginal Delivery[J].Chinese Health Quality Management,2022,29(05):10-12.[doi:10.13912/j.cnki.chqm.2022.29.5.03 ]

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阴道分娩产后出血的持续改进

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年05期页码: 10-12 栏目: 特别关注出版日期: 2022-05-28

Title:: Continuous Improvement of Postpartum Hemorrhage after Vaginal Delivery

作者:: 马宏伟张彦李黎林莉盛雨婷刘兴会; 四川大学华西第二医院

Author(s):: MA Hongwei; ZHANG Yan; LI Li; West China Second University Hospital, Sichuan University

关键词:: 产后出血; 阴道分娩并发症; 患者安全

Keywords:: Postpartum Hemorrhage; Complications of Vaginal Delivery; Patient Safety

分类号:: R197;R714

DOI:: 10.13912/j.cnki.chqm.2022.29.5.03

文献标志码:: B

摘要:: 产后出血是阴道分娩常见并发症之一。四川大学华西第二医院针对阴道分娩产后出血管理存在问题，从孕妇层面识别高危因素，助产士层面规范血液计量法，医师层面规范宫缩乏力性产后出血三级防治流程，科室层面制度化产后出血防治要点，医院层面建立多学科快速反应团队等方面强化了管理，使出血量估测误差减小，阴道分娩产后出血发生率降低。

Abstract:: Postpartum hemorrhage is one of the common complications of vaginal delivery. Based on the problems in postpartum hemorrhage management for vaginal delivery, the West China Second University Hospital,Sichuan University promoted the management through aspects of identifying risk factors at the pregnant women level, standardizing blood measurement at midwife level, standardizing the three-level prevention process of postpartum hemorrhage at the physician level, institutionalizing the key points of postpartum hemorrhage prevention at department level, building a multidisciplinary rapid response team for postpartum hemorrhage at the hospital level, which reduced the blood loss estimation error and the incidence of postpartum hemorrhage after vaginal delivery.

参考文献/References:

［1］国家卫生健康委办公厅.关于印发2021年国家医疗质量安全改进目标的通知：国卫办医函〔2021〕76号［EB/OL］.(2021-02-20)［2021-10-10］.http://www.nhc.gov.cn/yzygj/s7657/202102/8c53313 663284 a7ba146648509538ee2.shtml. ［2］马宏伟,刘兴会.产后出血病因构成的变迁及应对措施［J］. 实用妇产科杂志,2021,37(3):165-168. ［3］中华医学会妇产科学分会产科学组.产后出血预防与处理指南(2014)［J］. 中华妇产科杂志,2014,49(9):641-646. ［4］全国妇幼卫生监测办公室.全国妇幼健康监测及年报通讯［R］. 2021. ［5］陈鹏,高倩,陈锰,等.培训后目测法评估阴道分娩出血量准确性的前瞻性研究［J］. 实用妇产科杂志,2014,30(11):851-853. ［6］Committee on Practice Bulletins-Obstetrics. Practice bulletin No. 183: postpartum hemorrhage［J］. Obstet Gynecol,2017,130(4):e168-e186. ［7］SENTIHES L,GOFFINET F,VAYSSIERE C,et al.Comparison of postpartum haemorrhage guidelines: discrepancies underline our lack of knowledge［J］. BJOG,2017,124(5):718-722. ［8］连岩,王谢桐.围产期保健在降低阴道分娩并发症中的作用［J］. 实用妇产科杂志,2022,38(1):3-5. ［9］熊倩,朱华蓉,何琳,等.产房护理质量敏感指标体系构建［J］. 中国卫生质量管理,2021,28(7):58-62.

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更新日期/Last Update: 2022-05-28