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目的了解产后大出血发生的原因,探讨产后大出血的预防措施。方法研究资料选择本院收治的产后出血产妇共60例作为观察组,选择同期60例未发生大出血的产妇作为对照组,分析导致大出血的因素,并行产妇紧张程度评分评定,总结统计总出血量以及总的住院时间等。结果胎盘粘连、宫缩乏力、凝血功能障碍、妊娠期高血压病是导致产妇产后出血的高危因素;大于35岁年龄组产妇发生产后出血的概率(9.57%)更高,并且其平均总出血量和平均住院时间明显高于小于35岁年龄组的产妇(P均<0.01);与未发生产后出血的产妇相比,产后出血产妇的产前紧张度更高(P<0.01)。结论临床医护人员应当针对产后出血的高危因素进行积极的治疗和预防。
Objective To understand the causes of postpartum hemorrhage and to explore the preventive measures of postpartum hemorrhage. Methods: Sixty cases of postpartum hemorrhage selected in our hospital were selected as the observation group, and 60 cases of non-hemorrhagic maternal women were selected as the control group. The factors leading to major bleeding were analyzed. The maternal tension rating was evaluated in parallel and the total amount of bleeding was summarized. Total length of stay and so on. Results Placental adhesion, uterine atony, coagulation dysfunction and gestational hypertension were the risk factors of postpartum hemorrhage. The probability of postpartum hemorrhage (9.57%) was higher in patients over 35 years of age and the average total amount of bleeding And average length of hospital stay were significantly higher than those of women younger than 35 years (P <0.01). The prenatal strain of postpartum hemorrhage was higher than that of women without postpartum hemorrhage (P <0.01). Conclusion Clinicians should actively treat and prevent high risk factors of postpartum hemorrhage.