经产妇产后出血81例临床分析  

Clinical analysis of 81 cases of parous postpartum hemorrhage

作　　者：张季萍[1] 李艳琴[1] 

机构地区：[1]双流县妇幼保健院,四川双流610200

出　　处：《基层医学论坛》2013年第10期1240-1242,共3页The Medical Forum

摘　　要：目的分析经产妇产后出血的相关因素。方法对我院产科81例经产妇产后出血病例进行回顾性分析,并与131例产后出血的初产妇作对照。结果经产妇组产后出血率为7.3%,初产妇组为5.7%;经产妇组平均年龄(29.2±5.3)岁,瘢痕子宫率22.2%,娩出女婴率72.0%,剖宫产率61.7%,宫缩乏力率91.4%,与初产妇组比较差异均有统计学意义(P<0.05或<0.01)。结论经产妇受年龄、自身产科条件、社会、心理等多种因素的影响,产后出血率高于初产妇。重视产前保健、加强对经产妇的系统监测和干预性医疗,降低剖宫产率,可以降低产后出血发生率。Objective To investigate the masons for parous postpartum hemorrhage and related factors. Methods The clinical data of 81 cases of parous postpartum hemorrhage in the hospital were retrospective analyzed and 131 cases of primipara postpartum hemorrhage as the control. Results The postpartum hemorrhage rate of parous-maternal group was 7.3%, and the primipara group was 5.7%; the average age of parous group was 29.2 ± 5.3 years, the uterine scar was 22.2%, the baby girl was dehvered in 72.0%, the cesarean section rate was 61.7%, terine inertia rate was 91.4%, compared with the primipara group, the differences were statistically significant （P〈0.05 or 〈0.01）. Conclusion Affected by age, own obstetric conditions, social, psychological and other factors, the postpartum hemorrhage rate of parous-puerpera was higher than primipara. Hence, prenatal care should be emphasised, maternal system monitoring and medical intervention are needed to be strengthened, so the cesarean section rate will be reduced.

关 键 词：经产妇 产后出血 宫缩乏力 剖宫产 

分 类 号：R714.461[医药卫生—妇产科学]