摘要
目的:探讨瘢痕子宫再次妊娠产后出血的危险因素。方法:选取佛山市南海区桂城医院及广州医科大学附属第三医院2017年1月-2020年1月临床收治的瘢痕子宫再次妊娠孕产妇500例为研究对象,根据孕产妇产后出血情况将其分成出血组(50例)和对照组(450例)。观察两组孕产妇的主要临床特征,采用多因素Logistics回归分析探讨瘢痕子宫再次妊娠产后出血的危险因素。结果:单因素和多因素Logistic回归分析显示:生育次数、人工流产次数、高血压、凝血功能障碍、中重度贫血、子宫收缩乏力、软产道裂伤、瘢痕厚度、前置胎盘、胎盘植入、胎盘粘连、胎盘早剥、巨大儿是影响瘢痕子宫产后出血的独立危险因素(P <0.05)。结论:瘢痕子宫产后出血与孕产妇生育次数、人工流产次数、高血压、凝血功能障碍、中重度贫血、子宫收缩乏力、软产道裂伤、瘢痕厚度、前置胎盘、胎盘植入、胎盘粘连、胎盘早剥、巨大儿等因素相关,临床上应针对上述危险因素给予孕产妇早期积极的预防干预措施,从而有效控制和降低产后出血的发生。
Objective: To investigate the risk factors of postpartum hemorrhage in re-pregnancy women with scar uterus. Methods: 500 cases from January 2017 to January 2020 were selected as the research objects, and were divided into the bleeding group(50 cases) and the control group(450 cases) according to the postpartum bleeding situation of pregnant women. The main clinical characteristics of included cases in the two groups were observed, and the risk factors of postpartum hemorrhage in re-pregnancy women with scar uterus were analyzed by multivariate Logistic regression analysis. Results: The results of univariate and multivariate Logistic regression analysis showed that there are many independent risk factors of postpartum hemorrhage in re-pregnancy women with scar uterus, including the number of births, the number of induced abortion, hypertension, coagulation dysfunction, moderate to severe anemia, uterine inertia, soft birth canal laceration, scar thickness, placenta previa, placenta accreta, placental adhesion, placental abruption, and macrosomia(P<0.05). Conclusion: Postpartum hemorrhage in re-pregnancy women with scar uterus is related to many of the above independent risk factors. In clinical practice, early preventive interventions targeting the above risk factors should be carried out for pregnant women to effectively control and reduce the occurrence of postpartum hemorrhage.
出处
《中医临床研究》
2022年第8期111-114,共4页
Clinical Journal Of Chinese Medicine
关键词
瘢痕子宫
产后出血
危险因素
再次妊娠
Scar uterus
Postpartum hemorrhage
Risk factor
Re-pregnancy
