流产后出血高危因素的研究  

Research on the High Risk Factors of Post-Abortion Hemorrhage

作　　者：张梦君 张华乐 连成瑛[1] 陈秀娟[1] ZHANG Mengjun;ZHANG Huale;LIAN Chengying;CHEN Xiujuan(Fujian Maternal and Children Hospital,Fuzhou 350001,China)

机构地区：[1]福建省妇幼保健院,福建福州350001

出　　处：《中外医学研究》2021年第7期55-57,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨发生流产后出血的高危因素,为流产后出血的防治提供依据。方法:选择2014年6月-2017年6月笔者所在医院早中孕期(孕周<28周)流产后出血产妇82例为试验组,匹配相同孕周无流产后出血的产妇82例为对照组。通过单因素和多因素条件Logistic回归法筛选与流产后出血相关的因素。结果:单因素分析提示:年龄≥35岁、体质指数(BMI)≥24 kg/m^(2)、宫颈分泌物培养阳性、胎盘低置或前置状态、中性粒细胞计数增高、高谷草转氨酶等是流产后出血的高危因素。多因素条件Logistic回归分析结果表明,高谷草转氨酶、BMI≥24 kg/m^(2)、羊膜腔感染、高白蛋白及高血红蛋白与流产后出血独立相关(P<0.05),其中BMI≥24 kg/m^(2)及羊膜腔感染同流产后出血关系最为密切,其OR值分别为53.460及15.975。结论:流产后出血受多种因素影响,识别并评估流产后出血高危因素,有助于降低流产后出血发生率。Objective:To investigate the high risk factors and provide the basis for the prevention and treatment in post-abortion hemorrhage.Method:A total of 82 patients of first trimester and second trimester(<28 gestational weeks)who had post-abortion bleeding in our hospital from June 2014 to June 2017 were selected as the experimental group,and another 82 same patients who had no post-abortion bleeding as the control group.The factors associated with post-abortion hemorrhage were selected by single factor and multiple factor conditional Logistic regression.Result:Single factor analysis showed that age≥35 years old,body mass index(BMI)≥24 kg/m^(2),positive cervical secretion,placenta hypoplasia or placenta previa,increased neutrophil count and high glutamic-oxalacetic transaminase were the high risk factors for hemorrhage after abortion.Multivariate Logistic regression analysis showed that high glutamic-oxalacetic transaminase,BMI≥24 kg/m^(2),amniotic cavity infection,high albumin and high hemoglobin were independently associated with post-abortion hemorrhage(P<0.05).Among them,the BMI≥24 kg/m^(2)and amniotic cavity infection were closely related to postpartum hemorrhage,whose OR value were 53.460 and 15.975 respectively.Conclusion:The post-abortion hemorrhage is affected by many factors.Identification and evaluation of high risk factors for post-abortion hemorrhage can help to reduce the incidence of post abortion bleeding.

关 键 词：流产后出血 病例对照研究 LOGISTIC回归 危险因素 羊膜腔感染 

分 类 号：R714.21[医药卫生—妇产科学]