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目的:探讨引起产后出血的原因及相关危险因素,为产后出血的防治提供理论依据。方法:本研究选取了2012年4月至2013年4月我院产科收治的165例产后出血患者作为研究对象,观察165例患者的临床资料,分析引起产后出血的原因及构成比,并对产后出血的相关危险因素进行分析。结果:165例患者的产后出血原因及构成比情况为:宫缩乏力89例,占53.9%;胎盘、胎膜因素59例,占38.8%;软产道损伤11例,占6.7%;凝血功能障碍6例,占3.6%。年龄、孕周、孕次、分娩方式、妊娠合并症及新生儿体重为产后出血的相关危险因素,与产后出血密切相关。结论:分析引起产后出血的原因及相关危险因素,可为产后出血相应防治措施的制定提供参考依据,对降低产后出血的发生风险具有积极意义。
Objective: To explore the causes of postpartum hemorrhage and related risk factors, to provide a theoretical basis for the prevention and treatment of postpartum hemorrhage. Methods: From April 2012 to April 2013, 165 cases of postpartum hemorrhage admitted to our hospital from April 2012 to April 2013 were selected as the research object. The clinical data of 165 patients were observed. The causes and proportions of postpartum hemorrhage were analyzed. Bleeding related risk factors were analyzed. Results: The causes and proportions of postpartum hemorrhage in 165 patients were: uterine inertia 89 cases, accounting for 53.9%; placenta, fetal membranes 59 cases, accounting for 38.8%; soft birth canal injury 11 cases, accounting for 6.7%; coagulation dysfunction 6 cases, accounting for 3.6%. Age, gestational age, gestational age, mode of delivery, pregnancy complications and neonatal body weight as postpartum hemorrhage related risk factors, and postpartum hemorrhage are closely related. Conclusion: Analysis of the causes of postpartum hemorrhage and related risk factors may provide a reference for the development of appropriate prevention and treatment measures of postpartum hemorrhage, and have a positive effect on reducing the risk of postpartum hemorrhage.