400例产后出血患者的危险因素分析及其对应防治方法的临床研究  

Analysis of risk factors and clinical study of prevention and control methods for 400 cases with postpartum hemorrhage

作　　者：艾永生[1] 桂文武[2] 孟江萍[2] 幸贵邦[2] 李恬[2] 

机构地区：[1]重庆市合川区人民医院妇产科,401520 [2]重庆医科大学附属第一医院妇产科辅助生殖中心,400016

出　　处：《检验医学与临床》2012年第15期1891-1892,1894,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨影响剖宫产术后出血的危险因素及研究其对应的防治方法。方法对400例产后出血患者的临床资料进行回顾性分析,记录患者出血原因、分娩方式、分娩史、妊娠并发症等基本资料,进行统计学分析。结果产后出血原因对比中,子宫收缩乏力占74.5%(χ2=249.4,P<0.05);分娩方式对比中,剖宫产占64.5%(χ2=11.1,P<0.05);分娩史对比中,初产占77.0%(χ2=37.7,P<0.05);妊娠并发症对比中,有妊娠并发症占80.0%(χ2=46.8,P<0.05),其余项差异无统计学意义(P>0.05)。结论子宫收缩乏力、剖宫产、初产、有妊娠并发症为影响产后出血的独立危险因素,因此可据情处理。Objective To investigate risk factors and prevention or control methods for postpartum hemor- rhage after childbirth. Methods The clinical data of 400 cases with postpartum hemorrhage were retrospectively ana- lyzed, and recording causes of bleeding in patients, the mode of delivery, birth history, pregnancy complications, which basic information was statistically analyzed. Results For the reasons of postpartum hemorrhage bleeding,uterine ato- ny was 74.5%（X^2 =249.4,P〈0.05） ;mode of delivery contrast,cesarean section was 64.5%（X^2 = 11. 1,P〈0.05） ; birth history contrast, early production was 77. 0%（X^2=37. 7, P〈0. 05 ） ; comparison of pregnancy complication, pregnancy complications was 80.0% （ X^2 =46.8, P〈0.05 ）, the rest items had no difference（ P〉0.05 ）. Conclusion Binary logistic regression analysis showed that uterine inertia,cesarean section, primiparity were pregnancy complica- tions independent risk factors of postpartum hemorrhage,which can be treated according to the situation.

关 键 词：产后出血 危险因素 LOGISTIC回归分析 

分 类 号：R714.46[医药卫生—妇产科学]