摘要
目的探讨经阴道分娩产后出血的原因、相关因素及防治措施。方法将产后出血产妇162例作为出血组,选择同期非产后出血经阴道分娩的产妇156例作为对照组,观察产妇一般情况、妊娠合并症及并发症、产后出血的危险因素、产程、心理因素等,采用容积法和称重法测量产后出血量,运用PEMS统计软件对资料进行回顾性病例对照分析。结果引起产后出血常见原因有产后宫缩乏力、胎盘因素、软产道损伤,产后出血的高危因素主要是贫血、前置胎盘和多胎。结论产后出血与多种因素相关,重视孕前保健,积极处理第3产程,发生产后出血应针对病因进行处理。
Objective To explore the related factor and preventive measure of postpartum hemorrhage after vaginal delivery. Methods 162 patients with postpartum hemorrhage were selected as the hemorrhage group, and the other 156 patients without postpartum hemorrhage were selected as the control group. Observe the general condition, pregnancy complications, birth process, and psychological state. Measure the amount of bleeding through volume method and weight method, and compare the clinical data of the two groups with PEMS software. Result Postpartum hemorrhage was usually caused by uterine inertia, placenta factor and soft birth canal damage. The high risk factors were anemia, placenta previa, and polyembryony. Conclusion Postpartum hemorrhage is related to many factors, people should pay more attention to preconception care and take proper treatment according to different causes when postpartum hemorrhage occurred.
出处
《局解手术学杂志》
2012年第5期544-545,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
产后出血
经阴道分娩
postpartum hemorrhage
vaginal delivery
