235例产后出血的临床分析

发布时间：2019-06-06 04:52

【摘要】：目的探讨产后出血的高危因素与预防措施,提高产科质量,降低孕产妇的死亡率。方法对2011年1月1日至2013年12月31日在北京市房山区妇幼保健院发生的235例产后出血的患者资料进行回顾性分析。结果剖宫产产后出血率3.15%,阴道分娩产后出血率3.20%,两种生产方式产后出血的率差异无统计学意义(P0.05)。分娩年龄大于35岁的产妇产后出血率高于分娩年龄小于35岁的产妇;孕次大于3次的产妇产后出血率高于孕次小于3次的产妇的出血率;经产妇的产后出血率高于初产妇;胎儿体重大于4 000g的产后出血率高于胎儿体重小于4 000g的产后出血率;妊娠合并症的产后出血率高于无合并症的产后出血率;因巨大儿行剖宫产术中应用缩宫素及卡前列素氨丁三醇(欣母沛)与单纯应用缩宫素比较可降低产后出血的发生率,差异有统计学意义(P0.05)。结论产后出血的受分娩年龄、孕产次、胎儿体重、并发症等因素的影响,加强高危孕产妇管理,正确评估产后出血的高危因素,提前采取预防措施,是降低产后出血的关键。
[Abstract]:Objective to explore the high risk factors and preventive measures of postpartum hemorrhage, improve the quality of obstetrics and reduce the mortality of pregnant and lying-in women. Methods the data of 235 patients with postpartum hemorrhage in Fangshan District Maternal and Child Health Hospital of Beijing from January 1, 2011 to December 31, 2013 were analyzed retrospectively. Results the postpartum bleeding rate of cesarean section was 3.15%, and that of vaginal delivery was 3.20%. There was no significant difference in the rate of postpartum hemorrhage between the two modes of production (P 0.05). The postpartum bleeding rate of parturients older than 35 years old was higher than that of parturients less than 35 years old, the postpartum bleeding rate of parturients with more than three pregnancies was higher than that of parturients less than 3 times, and the postpartum bleeding rate of parturients was higher than that of parturients. The rate of postpartum hemorrhage with fetal weight greater than 4000 g was higher than that with fetal weight less than 4000 g, and the rate of postpartum hemorrhage with pregnancy complications was higher than that without complications. Compared with oxytocin alone, the incidence of postpartum hemorrhage could be reduced by the use of oxytocin and carbarbuterol in cesarean section of giant children, the difference was statistically significant (P 0.05), and the incidence of postpartum hemorrhage was significantly lower than that of oxytocin alone (P 0.05), and the incidence of postpartum hemorrhage was significantly lower than that of oxytocin alone. Conclusion the key to reduce postpartum hemorrhage is to strengthen the management of high risk pregnant women, correctly evaluate the high risk factors of postpartum hemorrhage and take preventive measures ahead of time.
【作者单位】：北京市房山区妇幼保健院;
【分类号】：R714.461

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