北京市某三级甲等妇产专科医院高龄初产妇产后出血的影响因素分析  

Risk factors associated with postpartum hemorrhage among uniparas aged over 35 years from one grade 3 and first-class obstetrics and gynecology hospital of Beijing

作　　者：张红卫[1] 郭利 张力亚[1] 

机构地区：[1]首都医科大学附属北京妇产医院产科病房,100026

出　　处：《中华现代护理杂志》2013年第16期1870-1873,共4页Chinese Journal of Modern Nursing

摘　　要：目的 了解高龄初产妇产后出血的发生率及其危险因素.方法 对北京妇产医院2011年6月至2012年5月住院分娩的1 065例高龄产妇的住院病例资料进行回顾性分析,采用多因素Logistic回归模型分析高龄初产妇产后出血的危险因素.结果 高龄初产妇产后出血的发生率为15.02％.多因素Logistic回归分析显示以下因素与高龄初产妇的产后出血有关：宫缩乏力（AOR＞999.999）、前置胎盘（AOR：24.72;95％ CI：4.82～126.80）、试管婴儿（AOR：5.79;95％ CI：1.50～22.31）、足月产（AOR：0.26;95％ CI：0.07～0.96）.结论 高龄初产妇是产后出血的高危人群,确认危险因素,加强宣教,及早治疗有助于降低产妇的产后出血率及死亡率.Objective To determine the incidence and risk factors of postpartum hemorrhage among uniparas aged 35 years or older.Methods This hospital-based study included 1 065 advanced maternal age between June 2011 and May 2012 from Beijing Obstetrics and Gynecology Hospital.A multiple logistic model was used to identify risk factors independently associated postpartum hemorrhage among the pregnancy women aged over 35 years.Results The incidence of postpartum hemorrhage was 15％.Multiple Logistic analysis results showed that uterine atony （AOR ＞999.999）,placenta previa （AOR：24.72 ;95％ CI：4.82-126.80）,test-tube baby （AOR：5.79 ; 95 ％ CI：1.50-22.31）,and term infants （AOR：0.26 ; 95 ％ CI：0.07-0.96）were the risk factors for uniparas aged over 35 years.Conclusions Uniparas aged over 35 years are high-risk groups for postpartum hemorrhage.So doctors and nurses should identify the risk factors for postpartum hemorrhage of uniparas aged over 35 years,emphasize health education and provide early treatment so that the rote of postpartum hemorrhage and the mortality of pregnancy women can be reduced.

关 键 词：产后出血 高龄初产妇 影响因素 

分 类 号：R473.71[医药卫生—护理学]