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目的:通过对产后出血原因及危险因素进行全面分析,从而探究并提出合理有效的救治方法。方法:选取遵义市妇幼保健院2012年6月至2015年12分娩孕妇中出现产后出血的110例产妇进行回顾性分析,观察产妇产后出血原因。结果:110例产后出血病例中,出血的原因主要与子宫收缩乏力、软产道裂伤、凝血功能障碍、胎盘因素等因素相关,宫缩乏力53例(48.2%),软产道裂伤12例(10.9%),凝血功能障碍7例(6.4%);胎盘因素分析38例(34.5%);产后出血与产妇的分娩方式及分娩次数等有关,差异具有统计学意义(P<0.05)。结论:产后出血是由多种原因、多种危险因素导致的,因此需要对相关的原因及因素进行分析,并依此制定出合理有效的救治方法和解决策略,从而有效地减少产后出血的情况发生,以保障产妇的生命安全。
Objective: Through a comprehensive analysis of the causes of postpartum hemorrhage and risk factors, to explore and propose a reasonable and effective treatment methods. Methods: A total of 110 pregnant women with postpartum hemorrhage during delivery from June 2012 to 2015 in Zunyi MCH were retrospectively analyzed to observe the causes of postpartum hemorrhage. Results: Among 110 cases of postpartum hemorrhage, the causes of hemorrhage were mainly related to uterine atony, laceration of soft tract, coagulation dysfunction and placental factors. Among them, uterine inertia was found in 53 cases (48.2%), soft birth canal laceration in 12 cases 10.9%), coagulation dysfunction in 7 cases (6.4%), and placental factor analysis in 38 cases (34.5%). The postpartum hemorrhage was related to the mode of delivery and the number of deliveries. The difference was statistically significant (P <0.05). Conclusion: Postpartum hemorrhage is caused by a variety of causes and various risk factors. Therefore, related causes and factors need to be analyzed, and reasonable and effective treatment methods and strategies should be worked out so as to effectively reduce postpartum hemorrhage Occurred to protect the lives of mothers.