少数民族地区产后出血高危因素的预测研究

发布时间：2018-07-13 08:22

【摘要】：目的分析少数民族地区产妇发生产后出血的高危因素,以此对传统的"产后出血预测评分表"进行优化设计,为后续临床工作提供更有价值的参考信息。方法选取2011年12月~2013年12月我院收治的分挽产妇318例作为研究对象,以其出血为标准将其分为观察组(产后出血)106例和对照组(产后术出血)212例。使用单因素分析的方法分析产妇产后出血的高危因素,同时在传统"产后出血预测评分量表"的基础上重新制定改良后的产后出血预测评分量表。以病例组患者为对象对两个评分量表的评估结果准确性进行计算统计。结果本院产后出血发生率为3.26%,其中严重产后出血发生率为11.32%。改良后预测评分表增加了子宫,孕早期体重指数(BMI),瘢痕子宫,产前血红蛋白量(HB),巨大儿,前置胎盘,第二产程延长,胎盘枯连或植入等7项指标,改良前预测准确率为28.44%,改良后预测评分表预测性达55.66%,改良后预测率高于改良前,差异有统计学意义(χ~2=15.137,P0.05)。结论产后出血为产科常见危急并发症,产后出血高危因素较多,与孕妇及胎儿因素,妇娠并发症及合并症,产程等密切相关,而改良后的产后出血预测评分量表能有效提升对产妇产后出血预测的准确性。
[Abstract]:Objective to analyze the high risk factors of postpartum hemorrhage in ethnic minority areas, and to optimize the traditional "postpartum hemorrhage prediction score table" so as to provide more valuable reference information for the follow-up clinical work. Methods 318 parturient women who were treated in our hospital from December 2011 to December 2013 were divided into observation group (106 cases) and control group (212 cases). Univariate analysis was used to analyze the high risk factors of postpartum hemorrhage, and the modified postpartum hemorrhage prediction score scale was reformulated on the basis of the traditional postpartum hemorrhage prediction score scale. The accuracy of the evaluation results of the two rating scales was calculated and statistically analyzed by the patients in the case group. Results the incidence of postpartum hemorrhage in our hospital was 3.26 and the incidence of severe postpartum hemorrhage was 11.32. The improved predictor scale increased 7 indexes, such as uterus, early pregnancy body mass index (BMI), scarred uterus, prenatal hemoglobin (HB), macrosomia, placenta previa, prolonged second stage of labor, placenta withered or implanted, etc. The accuracy of prediction before improvement was 28.444.The predictive score of modified score was 55.66. The prediction rate after improvement was higher than that before improvement (蠂 ~ 2 / 215.137). Conclusion Postpartum hemorrhage is a common emergency complication in obstetrics, and there are many high risk factors of postpartum hemorrhage, which are closely related to maternal and fetal factors, complications and complications of pregnancy and pregnancy, labor process, etc. The improved postpartum hemorrhage prediction scale can effectively improve the accuracy of postpartum hemorrhage prediction.
【作者单位】：百色市右江区人民医院;
【基金】：广西百色市科技局项目(百科计150311)
【分类号】：R714.461

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