摘要
目的分析产后出血的原因及相关因素。方法回顾性分析2017年在天津市海河医院分娩的产后出血患者71例,分析产后出血的原因,流产史、分娩史、分娩方式、巨大儿、妊娠期高血压疾病与产后出血的关系。结果产后出血的发生率是7.23%,71例产后出血的患者中,宫缩乏力61例,占85.92%;胎盘因素者10例,占14.08%。软产道裂伤者0例,凝血功能异常者0例。阴道分娩62例,占87.32%;剖宫产9例,占12.68%。有流产史及分娩史的患者,产后出血的发生率高,差异有统计学意义(P<0.05)。阴道分娩比剖宫产分娩产后出血发生率更高,差异有统计学意义(P<0.05)。巨大儿及妊娠期高血压疾病与产后出血无相关性(P>0.05)。结论宫缩乏力是导致产后出血的主要原因,产后出血与流产史及分娩史相关。
Objective To analyse the causes and related factors of postpartum hemorrhage. Methods Retrospective analysis of 71 cases of postpartum hemorrhage was delivered in Tianjin Haihe Hospital in 2017.To analyze the causes of postpartum hemorrhage, the relationship between postpartum hemorrhage and the history of abortion, childbirth, mode of delivery, macrosomia, pregnancy induced hypertension. Results The incidence of postpartum hemorrhage was 7.23% with 71 patients, uterine contractions fatigue of 61 cases（85.92%）, placenta factor of 10 cases（14.08%）, 0 case of soft birth canal laceration, 0 case of abnormal coagulation function, 62 cases of vaginal delivery（87.32%）, 9 cases of cesarean section（12.68%）. The incidence of postpartum hemorrhage was higher in patients with history of abortion and childbirth, the difference was statistically significant（P〈0.05）. Vaginal delivery had a higher incidence of postpartum hemorrhage than cesarean delivery, the difference was statistically significant（P〈0.05）. There was no correlation between macrosomia and gestational hypertension and postpartum hemorrhage（P〉0.05）. Conclusion Uterine inertia is the main cause of postpartum hemorrhage, and postpartum hemorrhage is related to the history of abortion and childbirth.
作者
乔永茜
QIAO Yong-qian(Department of Gynaecology and Obstetrics,Tianjin Haihe Hospital,Tianjin 300350,China)
出处
《中国城乡企业卫生》
2018年第10期41-42,共2页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
产后出血
宫缩乏力
剖宫产术
Postpartum hemorrhage
Uterine inertia
Caesarean section
