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目的:分析造成剖宫产后出血的高风险因素,探讨不同情况下的治疗措施。方法:选取2013年1月-2014年12月我院收治的剖宫产后出血患者167例作为观察组和同期剖宫产正常产妇183例作为对照组,回顾性两组产妇的临床资料,分析剖宫产后出血的高危因素,总结不同病因下产后出血的治疗方法和效果。结果:产妇高龄、多次流产、多胎、子宫病变、胎盘前置、中重度贫血、血小板过低等是造成剖宫产妇产后出血的高风险因素。Logistic回归分析结果表明,子宫病变、多胎妊娠、胎盘前置和血小板降低是剖宫产后出血的独立高危因素,所有产妇经治疗均停止出血。结论:剖宫产手术前应详细了解产妇是否存在产后出血的高风险因素,并做好相应的预防和治疗措施,降低产后出血发生率和死亡率。
Objective: To analyze the high risk factors of post-cesarean section hemorrhage and to explore the treatment measures in different situations. Methods: 167 patients with post-cesarean section bleeding treated in our hospital from January 2013 to December 2014 were selected as the observation group and 183 normal pregnant women with cesarean section as the control group. The clinical data of the two groups were retrospectively analyzed Cesarean section after the risk factors of bleeding, summarize the different causes of postpartum hemorrhage treatment and effectiveness. Results: Maternal age, multiple miscarriage, multiple births, uterine lesions, placenta previa, moderate to severe anemia, thrombocytopenia and so on were the high risk factors of postpartum hemorrhage in cesarean section. Logistic regression analysis showed that uterine lesions, multiple pregnancies, placenta previa and thrombocytopenia were independent risk factors for post-cesarean section bleeding, and all mothers stopped bleeding after treatment. Conclusion: Before cesarean section surgery, we should know more about the high risk factors of postpartum hemorrhage among maternal women and make appropriate preventive and curative measures to reduce the incidence of postpartum hemorrhage and mortality.