143例产后出血的临床分析  

作　　者：贺芝英[1] 张秀果[1] 金细强[1] 

机构地区：[1]广东省东莞市厚街医院,广东东莞525960

出　　处：《中国农村卫生》2013年第03Z期135-136,共2页

摘　　要：目的分析东莞市厚街医院产妇中产后出血的危险因素，以进一步针对性预防产后出血，降低产后出血发生率及死亡率。方法回顾性研究分析2012年1月1日至2012年12月31日在我院住院分娩发生产后出血的产妇143例，对其年龄、孕次、产次、胎数、分娩方式、出血量、可能影响产后出血的危险因素等指标进行统计学分析，筛选产后的高危因素。结果我院产后出血发生率为2．8T％。15岁-19岁年龄组高于20岁及以上年龄组（P〈0．05），流动人口高于本地常住人口（P〈0．05），胎盘因素，羊水污染、妊娠期高血压疾病、巨大儿、合并子宫肌瘤是产后出血的高危因素，而孕次、产次、胎数、分娩方式对产后出血无明显影响。结论加强产前健康教育，加强高危孕产妇的管理，及时对症处理可有效的降低产后出血的发生率及孕产妇死亡率。Objective The study analyzed the risk factor associated with postpartum hemorrhage,afurther targeted prevention of hemorrhage and reduce the incidence of postpartum hemorrhage and maternal mortality rates. Methods A retrospective analysis from January 2011 to December 2011 in our hospital in postpartum hemorrhage of 143 cases of puerperal childbirth,for their age,household register,pregnancy time,production time,number of births,delivery methods,blood loss,hemoglobin before and after childbirth,may affect the risd factors of postpartum hemorrhage and other indicators used for statistical analysis screening of high risk factors of postpartum hemorrhage. Results Analysizes postpartum hemorrhage rate was 2.87%.15 to 19 years age group was higher than maternal is greater or equal to 20years old age group （P less than0.05）,The floating population is higher than the local resident population （P less than0.05）,placenta,amniotic, pregnancy-induced,hypertension disease,with uterine fibroids, macrosomia risk factors of early postpartum hemorrhage,but pregnanacy,parity, number of births,mode of delivery on postpartum hemorrhage had no significant effect. Conclusions Strengthening health education,strengthening the management of high-risk pregnant women,timely symptomatic treatment can effectively reduce the incidence of postpartum hemorrhage and maternal mortality.

关 键 词：产后出血 高危因素 防治措施 

分 类 号：R714.461[医药卫生—妇产科学]