高危妊娠产妇产后出血原因分析及预防  

Cause analysis and prevention of postpartum hemorrhage of high risk pregnancy women

作　　者：杨东群 

机构地区：[1]广东省惠州市第一妇幼保健院妇产科,广东惠州516001

出　　处：《中国医药科学》2015年第22期65-68,共4页China Medicine And Pharmacy

摘　　要：目的探讨高危妊娠产妇产后出血原因和预防措施。方法分析我院2011年6月~2015年2月收治的高危产妇1000例临床资料,依据预防方式不同进行分组,对照组（益母草注射液组）500例和观察组（欣母沛注射液组）500例。观察对照组和观察组高危产妇的高危因素情况,观察对照组和观察组高危产妇在产后2h及24h出血量情况,观察对照组和观察组高危产妇出血原因情况。结果对照组和观察组高危产妇妊高症比例均为最高,x2=5.158、5.236,差异有统计学意义（P〈0.05）,对照组和观察组高危产妇妊高症、胎盘前置、高龄产妇、羊水过多、胎盘早剥、多胎妊娠比例无统计学意义（x2=0.50、0.20、0.05、0.01、0.78、0.04,P〉0.05）。观察组高危产妇在产后2h及24h出血量均低于对照组（t=68.06、14.46）,差异均有统计学意义（P〈0.05）。对照组和观察组高危产妇子宫收缩乏力比例均为最高（x2=5.269、5.348）,差异有统计学意义（P〈0.05）,对照组和观察组高危产妇子宫收缩乏力、软产道损伤、胎盘问题、凝血障碍比例无统计学意义（x2=0.08、0.06、0.08、0.39,P〉0.05）。1000例高危产妇出血和子宫收缩乏力、软产道损伤、胎盘问题、凝血障碍均具有明显的正相关性,r=0.125、0.110、0.068、0.046,差异有统计学意义（P〈0.05）。结论产妇产前应该加强产前检查,尤其对于高危产妇而言,注射欣母沛注射液对减少产后出血现象,提高产妇的妊娠结局质量有着重要的意义。Objective To explore cause and preventive measures of postpartum hemorrhage of high risk pregnant women. Methods Clinical data of 1000 high risk pregnant women who were admitted to our hospital from June 2011 to February 2015 were analyzed.They were allocated to the control group（leonurus injection group） and the observation group（hemabate injection group） according to preventive methods,with 500 in each.High risk factors,blood loss of 2h and 24 h after delivery and causes of hemorrhage of high risk pregnant women in the control group and the observation group were observed. Results Portions of hypertension during pregnancy of high risk pregnant women in the control group and the observation group were both the highest.x2=5.158、5.236,P〈0.05,the difference had statistical significance.Portions of hypertension during pregnancy,placenta previa,elderly women,polyhydramnios,placental abruption and multiple pregnancy of high risk pregnant women in the control group and the observation group had no significant difference.x2=0.50、0.20、0.05、0.01、0.78、0.04,P〉0.05.Blood loss of 2h and 24 h after delivery of high risk pregnant women in the observation group was both lower than that of the control group.t=68.06、14.46,P〈0.05.The difference had statistical significance.Portions of uterine atony of high risk pregnant women in the control group and the observation group were both the highest.x2=5.269、5.348,P〈0.05.The difference had statistical significance.Portions of uterine atony,injury of soft birth canal,placental problem and coagulation disorders of high risk pregnant women in the control group and the observation group had no significant difference.x2=0.08、0.06、0.08、0.39,P〉0.05.Hemorrhage, uterine atony,injury of soft birth canal,placental problem and coagulation disorders of 1000 high risk pregnant women all had significant positive correlations.r=0.125、0.110、0.068、0.046,P〈0.05.The difference had statistical significance. Conclusion Pregnant women should strengthen prenatal e

关 键 词：高危妊娠产妇 产后出血 原因分析 预防措施 

分 类 号：R714.461[医药卫生—妇产科学]