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目的评价三次五种评分法在降低产后出血发生率中的应用价值。方法通过采用三次五种评分即产前２次产时１次分别对孕期、宫缩、胎盘、产伤及凝血机制等五种评分，根据评分高低给予相应处理。结果产时评分总分≥３分时产后出血预测率达６２．５％，宫颈乏力及胎盘因素评分分别≥２分时产后出血预测率分别为４８．１％及２２．４％，与对照组比较差异有显著性；应用本评分法前后产后出血发生率分别为４．７％和１．７％。结论三次五种评分法内容广泛，科学依据充分，可靠性强，有一定参考与实用价值。
Objective To evaluate the value of three times five grading methods in reducing the incidence of postpartum hemorrhage. Methods Five kinds of three scores were used, ie prenatal 2 times of birth, respectively, on pregnancy, uterine contractions, placenta, birth trauma and coagulation mechanisms and other five scores, according to the level of the corresponding treatment. Results The predictive rate of postpartum hemorrhage was 62.5% when the total score was ≥ 3, and the predictive rates of postpartum hemorrhage were 48.1% and 22.4% when the scores of cervical fatigue and placental factors were ≥ 2, respectively. Compared with the control group The difference was significant; the incidence of postpartum hemorrhage was 4.7% and 1.7% before and after the application of this score. Conclusion Three times five scoring method is broad, scientific basis is sufficient, reliability is good, have some reference and practical value.