产后出血的临床预警信息分析  

Early warning signs of postpartum hemorrhage.

作　　者：颜建英[1] 廖秋萍[1] 崔小妹[1] 徐榕莉[1] 黄晓燕[1] 林顺和[1] 

机构地区：[1]福建医科大学福建省妇幼保健院教学医院妇产科,福州350001

出　　处：《现代妇产科进展》2013年第9期734-737,共4页Progress in Obstetrics and Gynecology

基　　金：福建省科技计划重点项目(No:2009Y0008);福建省卫生厅医学创新课题(No:2009-CXB-32)

摘　　要：目的:分析产后出血(PPH)的产前危险因素,探讨发生PPH的临床预警信息。方法:选择在我院住院分娩的196例PPH产妇作为研究组,随机选取同期非PPH产妇196例作为对照组,回顾分析两组产妇的临床资料。结果:(1)产妇年龄>34岁、分娩前BMI>25.9kg/m2、贫血、宫高偏大、文化程度较低、经产妇、剖宫产、多胎妊娠、胎盘/胎膜娩出不完整均与PPH发病有关(P<0.05)。(2)多因素回归分析显示,产妇年龄>34岁,分娩前BMI>25.9kg/m2、贫血、宫高>34.5cm,剖宫产及胎盘/胎膜娩出不完整是PPH的独立影响因素(P<0.05)。结论:产妇年龄>34岁,分娩前BMI>25.9kg/m2、贫血、宫高>34.5cm,剖宫产、胎盘/胎膜娩出不完整是发生PPH的临床预警信息。对具备这些警示信息者,及时采取针对性防范措施,可有效降低PPH发生。Objective： To identify early warning signs of postpartum hemorrhage（PPH）.Methods： The study included PPH group（n = 196） as the study group and control group（n = 196） without PPH during the same period.The age,the hemoglobin level and basal body mass index（BMI） before delivery,the gestational age,educational level,parity,delivery mode and the integrality of placenta / embryonic membrane were analyzed.Results：（1） 34 years old,anemia,BMI 25.9kg / m2before delivery,low literacy,multipara,cecarean section,multiple pregnancy and incomplete placenta / embryonic membrane were relative to PPH（P 0.05）.（2） Logistic regression analysis showed that 34 years old,BMI25.9kg / m2,anemia,fundal height 34.5cm before delivery,cecarean section and incomplete placenta / embryonic membrane were independent indicators of PPH（P0.05）.Conclusions： 34 years old,BMI 25.9kg / m2,anemia,fundal height34.5cm before delivery,cecarean section and incomplete placenta / embryonic membrane are early warnings of PPH.Pregnant women with the above signs require close monitoring during prenatal care.

关 键 词：产后出血 预警信息 体重指数 贫血 

分 类 号：R714.461[医药卫生—妇产科学]