我国孕产妇产后出血输血概率增加的危险因素分析

发布时间：2018-02-24 03:24

本文关键词： 产后出血输血危险因素剖宫产　出处：《四川大学学报(医学版)》2017年06期 　论文类型：期刊论文

【摘要】：目的分析我国导致孕产妇产后出血患者输血概率增加的危险因素。方法回顾性分析2011年1月1日~12月31日间在我国37家医院分娩的112 441例产妇的住院病历资料,获取4 131例产后出血产妇基本信息、医院级别、妊娠相关并发症、产前血红蛋白(Hb)水平、分娩方式、产后出血详情、输血情况、母胎结局等资料。应用logistic回归分析评估输血治疗概率增加的危险因素。结果112 441例分娩产妇中剖宫产61 339例,占54.6%,4 131例发生产后出血产妇中有637例进行了输血治疗,输血率为15.4%,多数产妇输注1~4单位红细胞。多因素分析结果表明:医院级别为非三甲医院、多胎、合并前置胎盘、合并胎盘早剥、合并先兆子痫或子痫、分娩前贫血、早产、剖宫产是增加产后出血输血概率的危险因素。结论有合并症、剖宫产等产后出血孕产妇是输血概率增加的危险因素,建议其分娩方式谨慎选用剖宫产,并做好输血准备。
[Abstract]:Objective to analyze the risk factors leading to the increase of blood transfusion probability in postpartum hemorrhage patients in China. Methods the medical records of 112,441 pregnant women delivered in 37 hospitals from January 1st 2011 to December 31st were retrospectively analyzed. The basic information of 4 131 cases of postpartum hemorrhage, hospital grade, pregnancy related complications, prenatal hemoglobin (HB) level, delivery mode, details of postpartum hemorrhage and blood transfusion were obtained. Logistic regression analysis was used to evaluate the risk factors of increased probability of blood transfusion. Results 61,339 cases of cesarean section were performed in 112,441 cases of parturient, accounting for 54.66% of 4131 cases of postpartum hemorrhage. The blood transfusion rate was 15.4%, and most parturient women received 1 ~ 4 units of red blood cells. The results of multivariate analysis showed that: hospital grade was non-triple A hospital, multi-fetus, placenta previa, placental abruption, preeclampsia or eclampsia, anemia before delivery, preterm delivery. Conclusion Postpartum hemorrhage such as cesarean section and postpartum hemorrhage are the risk factors for the increase of blood transfusion probability. It is suggested that the mode of delivery should be carefully selected and the blood transfusion should be prepared.
【作者单位】：四川大学华西第二医院产科;出生缺陷与相关妇儿疾病教育部重点实验室(四川大学);
【基金】：国家十三五重大项目基金[No.2016YF(1000400)] 四川省科技科技支撑计划项目(No.2015SZ0136)资助
【分类号】：R714.461

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