农村地区305例产后出血病例高危因素分析

发布时间：2018-11-21 11:05

【摘要】：目的分析农村地区产后出血高危因素及对产后出血严重程度的影响。方法采用横断面调查方法,收集2010年10月至2012年6月发生在我国中部地区三县305例产后出血病例的相关信息。结果 305例病例中,84.3%有产后出血的高危因素,其中79.3%有产前高危因素,54.1%有产时及产后高危因素。有1种、2种、≥3种产后出血高危因素者分别为26.2%、28.9%及29.2%。随高危因素的增加,严重的产后出血发生比例增加,差异有统计学意义(P=0.000)。多因素Logistic回归分析显示孕次2次、无产检、有胎盘因素及剖宫产是严重产后出血的危险因素。结论大多数产后出血病例有产前、产时或产后高危因素。应加强对产后出血高危因素的筛查及纠正,降低严重产后出血的发生率。
[Abstract]:Objective to analyze the high risk factors of postpartum hemorrhage and its influence on the severity of postpartum hemorrhage in rural areas. Methods A cross-sectional survey was conducted to collect information on 305 cases of postpartum hemorrhage in three counties of central China from October 2010 to June 2012. Results among 305 cases, 84.3% had high risk factors for postpartum hemorrhage, 79.3% had prenatal risk factors and 54.1% had high risk factors during delivery and postpartum. There were one, two, and more than 3 high risk factors for postpartum hemorrhage (26.2r 28.9% and 29.2g%, respectively). With the increase of high risk factors, the incidence of severe postpartum hemorrhage increased, the difference was statistically significant (P0. 000). Multivariate Logistic regression analysis showed that the risk factors of severe postpartum hemorrhage were 2 pregnancies, no prenatal examination, placental factors and cesarean section. Conclusion most cases of postpartum hemorrhage have high risk factors of antenatal, delivery or postpartum. Screening and correction of high risk factors for postpartum hemorrhage should be strengthened to reduce the incidence of severe postpartum hemorrhage.
【作者单位】：中国疾病预防控制中心妇幼保健中心;
【基金】：吉林省妇幼保健院湖南省妇幼保健院山西省妇幼保健院吉林省公主岭市妇幼保健院湖南省临湘市妇幼保健院山西省万荣县妇幼保健院的大力支持
【分类号】：R714.461

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