摘要
目的探讨剖宫产产后出血的危险因素及防治对策。方法选择2015年1月至2017年7月在我院实施剖宫产分娩的375例患者为研究对象,其中17例剖宫产产妇发生产后出血,分析剖宫产产妇产后出血的相关危险因素,并提出相应的防治措施。结果剖宫产产后出血的发生率为4.53%,单因素分析显示,产次≥3次、多胎妊娠、子宫收缩乏力、前置胎盘、胎盘早剥、新生儿体重≥4 kg是引起剖宫产产后出血的危险因素(P<0.05)。Logistic多因素分析结果显示,子宫收缩乏力、前置胎盘、胎盘早剥是引起剖宫产产后出血的独立危险因素(P<0.05)。结论引起剖宫产产后出血的危险因素较多,因此应遵守剖宫产指征、指导孕期饮食、运动、做好产前检查、预防性使用缩宫素,以降低降低剖宫产产后出血的发生率。
Objective To explore the risk factors and prevention countermeasures of postpartum hemorrhage in caesarean section.Methods A total of 375 cases of parturient with caesarean section in our hospital from January 2015 to July 2017 were selected as the research objects,and 17 cases of parturients with cesarean were bleeding after production.The related risk factors of postpartum hemorrhage in parturients with cesarean section were analyzed and the prevention countermeasures were proposed.Results The incidence of postpartum hemorrhage after cesarean section was 4.53%.Univariateanalysis showed that≥3 births,multiple pregnancy,uterine inertia,placenta previa,placental abruption,neonatal weight≥4 kg was the risk factors of postpartum hemorrhage in cesarean section(P<0.05).Logistic multivariate analysis showed that uterine inertia,placenta previa and placental abruption were independent risk factors for postpartum hemorrhage in cesarean section(P<0.05).Conclusion There are many risk factors for postpartum hemorrhage in cesarean section.The cesarean section indications,pregnancy diet and exercise,prenatal examination and preventive use of oxytocin should be observed to reduce the incidence of postpartum hemorrhage in cesarean section.
作者
张莹
党冬英
ZHANG Ying;DANG Dong-ying(Maternal and Child Health Care Hospital of Dali County,Weinan 715100,China)
出处
《临床医学研究与实践》
2018年第10期145-146,共2页
Clinical Research and Practice
关键词
剖宫产
产后出血
危险因素
防治对策
cesarean section
postpartum hemorrhage
risk factors
prevention countermeasures
