产后大出血原因与处置方法探究  

Study on the reason of postpartum hemorrhage and disposal method

作　　者：刘玉红[1] 

机构地区：[1]江西省信丰县人民医院,江西信丰341600

出　　处：《中国当代医药》2012年第31期185-186,共2页China Modern Medicine

摘　　要：目的对产后大出血原因以及相关的处置方法进行分析探究。方法随机抽取2009年3月～2011年3月本院收治的待产孕妇418例,将其分成对照组和观察组,观察组展开预防产后大出血的综合防治措施,对照组不予以任何防治。对这两组患者术后大出血的发生率进行比较,并对出血原因进行分析。结果经统计发现,观察组产妇产后大出血的发生率显著低于对照组,且差异具有统计学意义(P<0.05)。导致出血的主要原因有:宫缩乏力、胎盘残留、巨大儿、妊高征、贫血、产道损伤等。结论在产前采取积极的合理的预防措施对降低产后大出血的发生率具有重要意义,值得关注。Objective To analyze and explore the reason of postpartum hemorrhage and the associated disposal methods. Methods Four hundred and eighteen cases of pregnant women were randomly extracted in March 2009 to March 2011 in our hospital, and divided into control group and observation group, comprehensive prevention and control measures for the prevention of postpartum hemorrhage were carried out in the observation group, no prevention and treatment were done in control group, postoperative hemorrhage incidence and causes of bleeding were analyzed in the two groups. Results The in- cidence of postpartum hemorrhage in observation group was significantly lower than that of the control group, there was sta- tistically significant difference （P 〈 0.05）. The main reason for causes of bleeding were： uterine atoMy, placental residue, huge children, pregnancy induced hypertension, anemia, birth canal injury. Conclusion The positive and reasonable pre- cautions taken in the prenatal has great significance in reducing the incidence of postpartum hemorrhage, is worthy of at- tention.

关 键 词：妊娠分娩 大出血 原因 综合预防 

分 类 号：R714.461[医药卫生—妇产科学]