[1]陈丽春,谢培坤,余倩,等.改良休克指数与妊娠期高血压病患者产后出血相关性研究[J].福建医药杂志,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.
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改良休克指数与妊娠期高血压病患者产后出血相关性研究()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期数:
2022年01期
页码:
8-11
栏目:
临床研究
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
文章编号:
1002-2600(2022)01-0008-04
作者:
陈丽春; 谢培坤1; 余倩; 张华乐2
福建省妇幼保健院产科(福州350001)
Author(s):
CHEN Lichun;  XIE Peikun;  YU Qian;  ZHANG Huale
Fujian Maternity and Child Health Hospital, Fuzhou, Fujian 350001, China
关键词:
妊娠期高血压疾病; 产后出血; 改良休克指数
Keywords:
HDP;  postpartum hemorrhage;  MSI
分类号:
R714.24+6
文献标志码:
B
摘要:
目的 探讨改良休克指数(MSI)在妊娠期高血压患者产后出血的相关性及应用。方法 根据妊娠期高血压患者是否发生产后出血进行分组比较，使用诊断时MSI对产后出血进行预测，以ROC曲线验证预测模型区分度。结果 1381例中共64例患者出现产后出血。两组患者年龄、临床诊断、疾病严重程度、分娩孕周、BMI及产次的差异均无统计学意义(P>0.05)。并发症及合并症，产后出血组仅中央性前置胎盘发生率高于无产后出血组(P<0.05)。产后出血组MSI高于无产后出血组(0.91±0.12vs. 0.87±0.13，P=0.006)，校正混杂因素后MSI是产后出血独立危险因素。3个预测模型ROC曲线下面积分别为0.744、0.758及0.772。结论 诊断妊娠期高血压病时的MSI对于患者产后出血具有预警作用。
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.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:福建医科大学大学生创新创业训练计划项目(L21068);福建省妇幼保健院科研基金计划项目(妇幼 YCXM 19-35);福建省卫生健康科研人才培养项目青年科研课题(2019-2-10)
1 福建医科大学; 2 通信作者，Email:zhanghuale@fjmu.edu.cn
更新日期/Last Update: 2022-02-15