84例产后出血产妇危险因素及临床干预措施分析.docVIP

84例产后出血产妇危险因素及临床干预措施分析 　　[摘要] 目的 探讨导致产妇产后出血的危险因素及临床干预措施。方法 采用回顾性调查对2014年1―12月收治2 125名产妇按照产后出血诊断标准排查出84例发生产后出血产妇。使用logistic回归分析筛选导致产后出血的危险因素，总结干预措施。 结果 导致患者出现产后出血的高危因素依次是宫缩乏力（OR=788.12）、胎盘前置（OR=65.58）、胎盘残留（OR=44.20）、产道损伤（OR=27.55）、流产史（OR=22.18）、产次（ORR=18.34）、剖宫产（OR=15.60）以及凝血功能异常（OR=5.65）。结论 临床工作中要高度重视宫缩乏力，术前制定合理的分娩手术方案及抢救准备，降低产后出血的发生率。 中国论文网 /6/view-7216844.htm 　　[关键词] 产后出血；危险因素；干预；分娩 　　[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0056-02 　　Analysis of Risk Factors and Clinical Intervention Measures of 84 cases of Puerpera with Postpartum Hemorrhage 　　WANG Ying， SUN Hong-li， LI Hong 　　Department of Obstetrics and Gynecology， Luohe Hospital of Traditional Chinese Medicine， Luohe， Henan Province， 462000 China 　　[Abstract] Objective To discuss the risk factors and clinical intervention measures of 84 cases of puerpera with postpartum hemorrhage. Methods 84 cases of puerpera with postpartum hemorrhage selected from the 2125 puerpera treated in our hospital from January 2014 to December 2014 according to the diagnostic criteria of postpartum hemorrhage were retrospectively surveyed， the risk factors leading to postpartum hemorrhage were screened by logistic regression analysis and the intervention measures were summarized. Results High risk factors causing postpartum hemorrhage in patients was successively uterine atony （OR=788.12）， the placenta praevia （OR=65.58）， residual placenta OR=44.20， birth canal injury OR=27.55， abortion history OR=22.18， parity OR=18.34， cesarean section （OR=15.60） and abnormal coagulation function （OR=5.65）. Conclusion We should attach great importance to uterine atony in clinic and make a reasonable delivery operation plan and rescue preparation to reduce the incidence of postpartum hemorrhage. 　　[Key words] Postpartum hemorrhage； Risk factors； Intervention； Delivery 　　我国产后出血的发病率约为2%～5%[1]，作为导致产妇死亡的首要原因，及早预防并迅速处置该病是保障孕产妇生命安全的重要手段[2]。为识别和掌握当地导致孕产妇产后出血的危险因素，该研究回顾性分析了2014年1―12月收治的84例产后出血产妇潜在危险因素及临床干预措施，以期指导临床诊疗，现报道如下。 　　1 资料与方法