经阴道分娩产妇产后出血高危因素分析  

Analysis of high-risk factors for postpartum hemorrhage in pregnants with vaginal delivery

作　　者：车艳红[1] 梁菁苹[1] 杨俊娟[1] CHE Yan-hong;LIANG Jing-ping;YANG Jun-juan(Department of Obstetrics and Gynecology,Maternal and Childern Health Care Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市妇幼保健院,郑州450000

出　　处：《医药论坛杂志》2023年第3期52-54,58,共4页Journal of Medical Forum

摘　　要：目的 分析经阴道分娩产妇产后出血的高危因素。方法 回顾分析郑州市妇幼保健院2018年3月至2021年3月发生产后出血的99例经阴道分娩产妇为研究对象,随机选择204例经阴道分娩未发生产后出血的产妇为对照组,用单因素分析各种因素与产后出血的相关性,用logistic多因素回归分析筛选出独立危险因素。结果 单因素分析显示孕次、产次、总产程时间、妊娠合并子宫病变、边缘性前置胎盘、胎盘粘连或植入、软产道裂伤、巨大儿、妊娠期高血压疾病等因素与产后出血有关(P<0.05)。logistic多因素回归分析显示产次、妊娠合并子宫病变、边缘性前置胎盘、胎盘粘连或植入、总产程时间、软产道裂伤是导致产妇产后出血的独立危险因素(P<0.05)。结论 对存在高风险因素的产妇需提高警惕,积极处理高危因素,提前做好预防产后出血的准备,有助于减少产后出血的发生。Objective To analyze the high-risk factors of postpartum hemorrhage in pregnant womem with vaginal delivery. Methods A retrospective analysis of 99 cases of vaginal delivery women who had postpartum hemorrhage from March 2018 to March 2021 in our hospital was the research object, and 204 cases of vaginal delivery women who did not have postpartum hemorrhage were randomly selected as the control group. A single factor analysis of various for the correlation between factors and postpartum hemorrhage, logistic multivariate regression analysis was used to screen out independent risk factors. Results Univariate analysis showed that the risk factors siginificantly related to massive postpartum hemorrhage were as follow: gravidity, parity, the total duration of labor, pregnancy with uterine lesions, marginal placenta previa, placental adhesions or placenta accreta, the total duration of labor, soft birth canal laceration, macrosomia, hypertension in pregnancy(P<0.05). Logistic multivariate regression analysis showed that parity, pregnancy with uterine lesions, marginal placenta previa, placental adhesions or placenta accreta, the total duration of labor, and soft birth canal laceration were independent risk factors for postpartum hemorrhage(P<0.05). Conclusion Women with high-risk factors need to be vigilant, actively deal with high-risk factors, and be prepared in advance to prevent postpartum hemorrhage, which will help reduce the occurrence of postpartum hemorrhage.

关 键 词：阴道分娩 产后出血 高危因素 

分 类 号：R714.46[医药卫生—妇产科学]