摘要
目的探讨剖宫产产妇产后出血的危险因素及预防对策。方法回顾性分析我院2019年2月至2020年1月收治280例剖宫产产妇的临床资料,根据是否发生产后出血分为产后出血组和非产后出血组,比较两组的临床资料,采用Logistic回归分析探讨剖宫产产后出血的危险因素。结果280例产妇中70例(25.00%)发生产后出血。单因素和Logistic回归分析显示,妊高征、血小板减少、宫缩乏力是剖宫产产后出血的危险因素(OR>1,P<0.05)。结论剖宫产产后出血的危险因素包括妊高征、血小板减少、宫缩乏力等。临床应当采取针对性的干预措施,做好围产期保健,加强产后护理和高危产妇护理等,以减少产后出血的发生。
Objective To explore the risk factors and preventive measures of postpartum hemorrhage in puerperae with cesarean section.Methods The clinical data of 280 puerperae with cesarean section admitted to our hospital from February 2019 to January 2020were retrospectively analyzed.According to whether postpartum hemorrhage occurred,they were divided into the postpartum hemorrhage group and the non-postpartum hemorrhage group.The clinical data of the two groups were compared.Logistic regression analysis was used to explore the risk factors of postpartum hemorrhage of cesarean section.Results Of the 280 puerperae,70 cases(25.00%)had postpartum hemorrhage.Univariate analysis and Logistic regression analysis showed that pregnancy-induced hypertension,thrombocytopenia,and uterine atony were risk factors for postpartum hemorrhage of cesarean section(OR>1,P<0.05).Conclusions The risk factors for postpartum hemorrhage of cesarean section include pregnancy-induced hypertension,thrombocytopenia,and uterine atony.In order to reduce the occurrence of postpartum hemorrhage,targeted intervention measures should be taken in clinical practice,perinatal health care should be done well,and postpartum care and high-risk maternal care should be strengthened.
作者
韩晓庆
万瑞
郑稳
嵇萍
HAN Xiaoqing;WAN Rui;ZHENG Wen;JI Ping(Department of Obstetrics,Yellow River Sanmenxia Hospital,Sanmenxia 472200,China)
出处
《临床医学工程》
2022年第10期1467-1468,共2页
Clinical Medicine & Engineering
关键词
剖宫产
产后出血
危险因素
预防对策
Cesarean section
Postpartum hemorrhage
Risk factor
Preventive measure
