目的探讨2003-2014年妊娠高危因素的变化情况,为进一步提升高危妊娠管理质量提供依据。方法采用回顾性研究的方法,对12年来广州市某社区共1153例高危孕产妇的高危因素变化趋势、高危妊娠和非高危妊娠孕产妇剖宫产率等进行分析。结果高危妊娠患病率呈上升趋势,2009-2014年妊娠期糖尿病(χ2=6.60,P=0.01)、年龄≥35岁(χ2=7.98,P<0.01)的百分比高于2003-2008年,差异有统计学意义;2003-2014年,高危妊娠组剖宫产率高于非高危妊娠组(χ2=287.94,P<0.01),差异有统计学意义;2009-2014年高危妊娠剖宫产率与2003-2008年相比,差异无统计学意义(χ2=3.46,P=0.06);2003-2014年,高危妊娠围产儿死亡率高于非高危妊娠(P=0.02),差异有统计学意义。结论 12年来,高危妊娠患病率、高危因素构成比发生了改变,应采取相应的措施,降低高危因素导致的母婴危害,保障母婴安全。

Objective To investigate 2003 – 2014 High-risk pregnant variation tendency,and provide the basis to raise the quality of High-risk pregnant supervision. Methods The retrospective analysis was been used,the community 12 years' High-risk pregnant variation tendency,cesarean rate,perinatal mortality rate was analyzed. Results There were ascendant trend of High-risk pregnant morbidity,gestational diabetes mellitus morbidity from 2009 to 2014 was higher than that from 2003 to 2008( χ2= 6. 60,P =0. 01). Be more than or equal to 35 ages rate from 2009 to 2014 was higher than that from 2003 to 2008( χ2= 7. 98,P < 0. 01).2003- 2014 年,From 2003 to 2014,the cesarean section rate of high-risk pregnant was higher than that of no high-risk pregnant( χ2=287. 94,P < 0. 01). The cesarean section rate of High-risk pregnant from 2009 to 2014 was not higher than that from 2003 to 2008( χ2= 3. 46,P = 0. 06). From 2003 to 2014,the perinatal mortality rate of high-risk pregnant was higher than that of no high-risk pregnant( P = 0. 02). Conclusions High-risk pregnant morbidity and High-risk factors percentages have changed from 2003 to 2014,intensive management of High-risk pregnant should be carried out to lessen the injury and protect mother and baby's safety.