产后出血原因及相关因素.docVIP

精品论文 参考文献 产后出血原因及相关因素 贵州省罗甸县中医院 550100 【摘 要】目的：分析产后出血原因及相关因素。方法：回顾性分析本院2015年1月-2016年4月收治的200例产后出血患者临床资料，均行面积法、容积法、目测估计法测量产后出血量，组织专家小组分析出血原因，分析影响产后出血因素。结果：造成产后出血主要原因是宫缩乏力（62.00%），其次原因是胎盘胎膜因素（17.00%），其他原因有软产道受损（10.00%）及凝血功能障碍（11.00%）。经Logic单因素回归分析发现，分娩年龄、孕次、产次、孕周、分娩方式及妊娠并发症、新生儿体重均为影响产后出血的危险因素。结论：产后出血的主要致病原因为宫缩乏力、胎盘胎膜受损，且分娩年龄、孕次、产次、孕周、分娩方式等因素均可影响产后出血，故建议护士及医生在患者孕期需加强产科健康知识普及，以减少其产后出血，提高分娩质量。 【关键词】产后出血；原因；危险因素 [Abstract] Objective：to analysis of postpartum bleeding causes and related factors.Methods：a retrospective analysis of our hospital in January 2015 - 2016 in April were 200 cases of postpartum hemorrhage in patients with clinical data，were examined by area method，volume method and visually estimated method to measure the amount of postpartum hemorrhage，organizing groups of experts to analyze the causes of bleeding and analysis of effect of postpartum hemorrhage factors.Results：the cause of the cause of postpartum hemorrhage is uterine atony（62.00%），the second reason is fetal membrane and placenta factor（17.00%）.Other reasons have soft birth canal injury（10.00%）and blood coagulation dysfunction（11.00%）.The logic by Element regression analysis，birth age，gravidity，parity，gestational age，mode of delivery and pregnancy complications，neonatal birth weight are the risk factors of postpartum hemorrhage.Conclusion：main causes of postpartum hemorrhage of uterine atony，damage to the placenta and fetal membranes and childbearing age，gravidity，parity，gestational age，mode of delivery and other factors can affect postpartum hemorrhage，therefore，it is suggested that nurses and doctors in patients during pregnancy need to strengthen the popularity of obstetric health knowledge，in order to reduce the incidence of postpartum hemorrhage，improve the quality of delivery. [Key words] postpartum hemorrhage；reason；risk factor 产后出血属于产妇分娩期常见并发症，其发生率极高，严重出血时，可导致孕产妇死亡。因此，如何有效降低产后出血的风险，提高孕产妇的分娩质量与健康水平，在产科仍是医生研究的重点课题。 为分析产后出血原因及相关因素，本院回顾性分析2015年1月-2016年4月收治的200例产后出血患者临床资料，现做如下报告