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目的:探讨妇产科阴道分娩后造成产妇出血的影响因素及应对措施。方法:从我院自2010年1月至2013年10月收治的1612例阴道分娩产妇中选取65例产后出血产妇设为观察组,选取同期65例产后未出血产妇设为对照组,两组患者进行对比观察。结果:观察组孕妇产前体重、第三产程时间、胎儿质量都明显大于对照组(P<0.05),且观察组孕妇产后2h出血量、产前产后血红蛋白差值以及产前产后红细胞压积值都明显大于对照组,P<0.05,具有统计学意义。结论:造成孕妇产后出血的原因主要有胎儿过大、子宫收缩乏力、胎盘影响以及软产道损伤等,因此,在进行产妇分娩时要严格控制分娩时间,并合理用药,辅助产妇进行分娩,从而预防和减少产妇产后出血。
Objective: To investigate the influencing factors of maternal hemorrhage after vaginal delivery in obstetrics and gynecology and its countermeasures. Methods: From the 1612 cases of vaginal delivery in our hospital from January 2010 to October 2013, we selected 65 postpartum hemorrhagic mothers as the observation group, selected the same period 65 cases of postpartum hemorrhage without maternal as the control group, two groups of patients Comparative observation. Results: The prenatal body weight, the third stage of labor and fetus quality in the observation group were significantly higher than those in the control group (P <0.05), and the amount of hemorrhage in the observation group at 2h postpartum, the difference in prenatal and postnatal hemoglobin and prepartum hematocrit Were significantly greater than the control group, P <0.05, with statistical significance. Conclusion: The main causes of postpartum hemorrhage in pregnant women include excessive fetus, uterine atony, placenta damage and soft birth canal injury. Therefore, it is necessary to strictly control the delivery time during maternal delivery and to make rational use of medication to assist maternal delivery and prevent And reduce maternal postpartum hemorrhage.