剖宫产术后晚期产后出血的相关影响因素分析及预防措施.docVIP

剖宫产术后晚期产后出血的相关影响因素分析及预防措施 　　[摘要] 目的 探讨剖宫产术后晚期产后出血的相关影响因素及预防措施。 方法 选择2011年1月～2014年12月在我院行剖宫产的产妇8498例，以是否发生晚期产后出血将其分为两组。统计并比较两组孕妇的一般因素和手术相关因素。剖宫产术后晚期产后出血的相关影响因素进行Logistic回归分析。 结果 我院剖宫产术后晚期产后出血发生率为0.31%。BMI≥28 kg/m2、妊娠胎儿数≥2个、剖宫产史、妊娠期合并症、产后营养不良、术后感染、子宫复旧不良、组织对位不佳和夏季手术是剖宫产孕妇术后晚期产后出血的危险因素。行剖宫产孕妇满足危险因素越多，其发生晚期产后出血风险越高。 结论 孕妇发生剖宫产术后晚期产后出血是多因素共同作用的结果。根据每一位孕妇的具体情况，在生产时和产后给予预防措施进行干预对降低剖宫产术后晚期产后出血发生率具有重要意义。 　　[关键词] 剖宫产；晚期产后出血；影响因素；预防措施 　　[中图分类号] R719.8+2 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0074-04 　　The related influence factors for late postpartum hemorrhage after cesarean section and its preventive measures 　　YE Xue-mei LIU Wei-wu XU Xiu-ying ZENG Wei-lan 　　Department of Obstetrical，Maternal and Child Health Hospital of Yulin City in Guangxi Zhuang Autonomous Region，Yulin 537000，China 　　[Abstract] Objective To discuss the risk factors for late postpartum hemorrhage after cesarean section and the preventive measures. Methods 8498 parturients given cesarean section in our hospital were selected from January 2011 to December 2014 and were divided into two groups according to whether or not having late postpartum hemorrhage.The general factors and operation correlative factors of parturients in two groups were gathered and compared.And the related influence factors for late postpartum hemorrhage after cesarean section were analyzed by Logistic regression analysis. Results The incidence rate of late postpartum hemorrhage after cesarean section was 0.31%.BMI≥28 kg/m2，gestation fetus number≥2，cesarean section history，pregnancy complications，postnatal malnutrition，postoperative infection，bad involution of uterus，poor organization registration and taking operation at summer are the risk factors for late postpartum hemorrhage after cesarean section. Conclusion The late postpartum hemorrhage after cesarean section is the result of many factors worked together.Taking some preventive measures made according to each parturient case at giving birth and postpartum nursing to dec