选择性剖宫产术后出血量的影响因素分析  

Analysis of the influencing factor of bleeding amount after selective cesarean delivery

作　　者：毕本斐 吴为玲 

机构地区：[1]临海市第一人民医院妇产科,浙江省临海317000 [2]台州恩泽医疗集团恩泽妇产医院妇产科

出　　处：《中国基层医药》2013年第10期1453-1455,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省台州市科技局资助项目（100KY39）

摘　　要：目的 研究选择性剖宫产术后出血量的相关因素,为预防产后出血提供理论依据。方法 选择剖宫产产妇300例纳入研究。采用容积法和称重法测量产后出血量。采用单因素及多元回归方法分析产后出血量的影响因素。结果 单因素及多元回归结果显示,子宫发育不良、子宫收缩乏力、宫颈评分、前置胎盘、胎盘粘连或植入和新生儿体质量与剖宫产术后出血量有关（检验值=9.263、9.845、3.447、7.234、5.765、3.627,均P＜0.01）,而年龄、体质量、孕周、孕次、产次、流产史、胎膜早破与剖宫产术后出血量无关（均P＞0.05）。结论 子宫发育不良、子宫收缩乏力、宫颈评分、前置胎盘、胎盘粘连或植入和新生儿体质量是影响剖宫产术后出血量的因素,应加强术前预测,以减少剖宫产术后出血的发生率。Objective To explore the influencing factor of amount of bleeding after selective cesarean delivery,and to provide theoretical basis to prevent postpartum hemorrhage in clinic.Methods A total of 300 delivery women,who received selective cesarean delivery because of social factors,was included this research.The amount of bleeding after selective cesarean delivery was determined by volumetric method and weight method.The related factor of amount of bleeding after selective cesarean delivery was analyzed by single-factor and multiple regression method.Results The result of single-factor and multiple regression method showed that the amount of bleeding after selective cesarean delivery was related to uterine dysplasia,uterine contraction fatigue,cervical score,placenta previa,placental adhesion/implant and neonatal weight（Test value=9.263,9.845,3.447,7.234,5.765,3.627,all P〈0.01）,but not related to age,body weight,gestational duration,gravidity times,production time,abortion history,premature rupture of membrane（all P〉0.05）.Conclusion Conclusion Uterine dysplasia,uterine contraction fatigue,cervical score,placenta previa,placental adhesion/implant and neonatal weight were the related factors of amount of bleeding after selective cesarean delivery,and should be predicted intensely to reduce the incidence of postpartum hemorrhage.

关 键 词：产后出血 剖宫产术 因素分析 统计学 

分 类 号：R719.8[医药卫生—妇产科学]