使用冲击指数,修改冲击指数和年龄调整的冲击指数来检测产后出血
Cagla Celikkan1, Mujde Can Ibanoglu2,3, Yaprak Engin-Ustun1
1Obstetrics and Gynecology, Ankara Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi, Ankara, Turkey.
Zeitschrift fur Geburtshilfe und Neonatologie
|June 5, 2024
概括
冲击指数 (SI) 和改性冲击指数 (MSI) 可以预测产后出血 (PPH). 升高的第二小时和第六小时SI和MSI值表明PPH和母亲不良结果的风险更高.
科学领域:
- 产科和妇科 产科和妇科
- 关键护理医学 关键护理医学
- 孕产妇健康 孕产妇健康
背景情况:
- 产后出血 (PPH) 仍然是全球孕产妇死亡的主要原因.
- 早期识别患有PPH风险的妇女对于及时干预和改善结果至关重要.
- 传统的生命体征可能并不总是充分反映出早期出血的严重程度.
研究的目的:
- 评估冲击指数 (SI),改性冲击指数 (MSI) 和产后出血 (PPH) 的三角冲击指数 (ΔSI) 的预测能力.
- 评估这些指数与母亲不良结果的关联.
- 确定SI和MSI的最佳切断值,以预测需要干预的PPH.
主要方法:
- 一项涉及883名产后妇女 (416名PPH,467名对照) 的横截面队列研究.
- 计算SI (脉冲/静脉血压) 和MSI (脉冲/平均动脉压) 在产后周围,第二和第六小时.
- 在PPH和对照组之间比较SI和MSI值.
主要成果:
- 与对照组相比,患有PPH的患者表现出显著更高的周周,第二小时和第6小时SI值.
- 产前期,第二小时和第六小时的MSI值在对照组明显低于PPH组.
- 确定了预测需要输血/手术的PPH最佳切断值:第二小时SI>0.8909,第六小时SI>0.8909,第二小时MSI>1.2和第六小时MSI>1.2652.
结论:
- 在经历产后出血的妇女中,第二小时和第六小时的SI和MSI值显著升高.
- SI值>0.89和MSI值>1.2是PPH与潜在的孕产妇损伤的显著预测指标.
- 这些指数为早期PPH风险分层和管理提供了有价值的,非侵入性的工具.
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