剖宫产术后并发子宫收缩乏力的影响因素分析  

Analysis of influencing factors of uterine atony after cesarean section

作　　者：周苗苗 李焕霞 崔琳琳 ZHOU Miaomiao;LI Huanxia;CUI Linlin(Zhumadian Traditional Chinese Medicine Hospital,Zhumadian,Henan 463000,China)

机构地区：[1]驻马店市中医院,河南驻马店463000

出　　处：《现代医药卫生》2025年第3期707-711,共5页Journal of Modern Medicine & Health

摘　　要：目的 探讨剖宫产术后并发子宫收缩乏力的影响因素。方法 选取2022年1月至2023年6月该院妇产科收治的剖宫产分娩产妇60例作为研究对象,收集产妇相关资料,统计剖宫产术后是否发生子宫收缩乏力,采用单因素和多因素logistic回归模型分析筛选影响剖宫产术后并发子宫收缩乏力的相关危险因素。结果 60例产妇中剖宫产术后子宫收缩乏力13例,发生率为21.67%。不同年龄、流产次数,以及有无合并妊娠高血压、胎盘异常、不良情绪、母婴早期接触吸吮产妇剖宫产术后并发子宫收缩乏力比例比较,差异均有统计学意义(P<0.05);不同文化程度、居住地、身体质量指数、胎儿性别、新生儿出生体重,以及有无妊娠贫血、妊娠糖尿病、羊水过多、缩宫素使用情况产妇剖宫产术后并发子宫收缩乏力比例比较,差异均无统计学意义(P>0.05);年龄大于或等于35岁、流产次数大于或等于3次,以及合并妊娠高血压、胎盘异常、不良情绪是产妇剖宫产术后并发子宫收缩乏力的高危因素,母婴早期接触吸吮是保护因素(偏回归系数=1.540,1.595,3.018,1.656,1.668,-2.282;优势比=4.667,4.926,20.444,5.236,5.304,0.102;95%可信区间1.278~17.047,1.329~18.262,2.040~204.900,1.419~19.320,1.398~20.122,0.024~0.427,P<0.05)。结论 剖宫产术后易并发子宫收缩乏力,其发生是年龄、流产次数、妊娠高血压、胎盘异常、不良情绪、母婴早期接触吸吮多种因素作用的结果,针对各项因素制定应对措施干预可预防子宫收缩乏力的发生。Objective To explore the influencing factors of uterine atony after cesarean section.Methods A total of 60 parturients with cesarean section admitted to the Department of Obstetrics and Gynecology of the Hospital were selected as the research objects from January 2022 to June 2023.The relevant data of parturients were collected,and whether uterine atony occurred after cesarean section was counted.Univariate and multivariate logistic regression models were used to analyze and screen the related risk factors affecting uterine atony after cesarean section.Results Among the 60 parturients,13 cases of uterine atony after cesarean section,the incidence rate was 21.67%.There were statistically significant differences in the proportion of uterine atony after cesarean section among women with different ages,times of abortion,with or without gestational hypertension,placental abnormalities,bad mood,and early maternal-infant contact sucking(P<0.05).There was no significant difference in the proportion of uterine atony after cesarean section among women with different education levels,places of residence,body mass index,fetal gender,neonatal birth weight,and the presence or absence of gestational anemia,gestational diabetes,polyhydramnios,and oxytocin use(P>0.05).Age greater than or equal to 35 years,the number of miscarriages greater than or equal to three,and concomitant gestational hypertension,placental abnormalities and adverse mood were the risk factors for uterine tony after cesarean section,and early maternal and infant contact sucking was a protective factor(β=1.540,1.595,3.018,1.656,1.668,-2.282;OR=4.667,4.926,20.444,5.236,5.304,0.102;95%CI 1.278-17.047,1.329-18.262,2.040-204.900,1.419-19.320,1.398-20.122,0.024-0.427,P<0.05).Conclusion Uterine atony is easy to occur after cesarean section.The occurrence of uterine atony is the result of many factors,such as age,number of abortions,gestational hypertension,placental abnormalities,bad mood,early maternal and infant contact and sucking.The development of countermeasu

关 键 词：子宫收缩乏力 剖宫产术 手术后并发症 影响因素分析 

分 类 号：R719.8[医药卫生—妇产科学]