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目的探讨高龄产妇产褥期恶露出血的发病率、原因及治疗方法。方法回顾性分析我院2014年12月~2016年3月240例高龄产妇的临床资料。其中恶露出血20例,发病率为8.33%,选取同期20例20~34岁产褥期恶露出血产妇为对照组,观察并比较两组恶露持续时间以及血性恶露持续时间与分娩方式的关系。结果 240例产妇中,高龄组恶露出血持续时间较长;不同的分娩方式,剖宫产组较阴道分娩组恶露出血时间长。两组在恶露持续时间方面差异具有统计学意义(P<0.05)。结论高龄产妇血性恶露持续时间长,阴道分娩有利于子宫恢复,同时要注意纠正子宫体后位;少数存在子宫器质性病变,需要及时处理。
Objective To investigate the incidence, causes and treatment of lochia bleeding in the elderly maternal puerperium. Methods The clinical data of 240 elderly women from December 2014 to March 2016 in our hospital were retrospectively analyzed. 20 cases of lochia hemorrhage, the incidence was 8.33%, select 20 cases of 20 to 34-year-old puerperal bleed during the same period as a control group of lochia, observation and comparison of two groups of lochia duration and duration of bloody lochia and mode of delivery. Results 240 cases of maternal, elderly patients with lochia bleeding longer duration; different modes of delivery, cesarean section than vaginal delivery group lochia bleeding longer. There was a statistically significant difference in the duration of lochia between the two groups (P <0.05). Conclusion Long-term maternal bloody lochia long duration, vaginal delivery is conducive to uterine recovery, and pay attention to correct posterior uterine position; a small number of uterine organic lesions, the need for timely treatment.