摘要
目的：分析产后出血相关的因素,提出合理的防治措施。方法：选取2001年1月2010年12月在我院住院分娩的产妇5 476例作为观察对象,将胎儿娩出后24 h内出血量大于500 mL定为产后出血。采用面积法和称重法测量产后出血量,应用SPSS13.0统计软件对资料进行分析。结果：5 476例产妇中发生产后出血153例,发生率为2.79%。发生产后出血的病例经产妇高于初产妇（P〈0.05）;剖宫产高于阴道分娩（P〈0.05）;多胎妊娠高于单胎妊娠（P〈0.05）;有产前高危因素的占产后出血的79.08%。产后出血原因排位为：宫缩乏力占71.24%,胎盘因素占11.11%,软产道损伤占16.34%。结论：病理产科是产后出血的高危因素,子宫收缩乏力是产后出血的主要原因。加强孕前宣教及孕期管理,严格掌握剖宫产指征,提高医务人员助产技术是预防和减少产后出血发生的重要措施。
Objective： To analyzed factors related to postpartum hemorrhage and explore reasonable prevention measures.Methods： A total of 5 476 pregnant women admitted from Jan 2001 to Dec 2010 were selected.The bleeding volume at more than 500 mL in 24h is considered as postpartum hemorrhage.The volume was measured by area-measuring and weighting,and the data was analyzed by SPSSl3.0 statistical software.Results： A total of 153 patients had postpartum hemorrhage（2.79%）.Pluripara cases and cases with cesarean section or multiple pregnancies were more predisposed to the hemorrhage （P〈0. 05）. Cases with prenatal risk factors accounted for 79.08% of postpartum hemorrhage. Main causes were uterine atony （71.24%）, placental factors （11.11%）, and the soft birth canal injury （16.34%）. Conclusions： Pathological factors are risk factors for postpartum hemorrhage, and uterine atony is the main cause. Strengthening management pre-pregnancy and during pregnancy, mastering indications of cesareansection and improving midwifery skills of medical personnel are important to prevent and reduce the inci- dence of postpartum hemorrhage.
出处
《海南医学院学报》
CAS
2011年第2期250-252,256,共4页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110051)~~
关键词
产后出血
相关因素
预防措施
Postpartum hemorrhage； Related factors； Preventive measures；
