导致瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素.docVIP

精品论文 参考文献 导致瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素 （山东菏泽市巨野县北城医院 山东菏泽 274900） 　　【摘要】目的：分析导致瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素，并总结相应的预防措施。方法：回顾性分析2015年全年在我院妇产科接受再次剖宫产手术的瘢痕子宫患者，将其作为观察组（n=50）；再抽选同期在本院接受首次剖宫产产妇（n=50），并将其作为对照组。观察并记录两组产妇的出血情况、并发症资料，并分析观察组产妇产后出血的相关因素。结果：观察组患者的产后出血率以及平均出血量明显高于对照组，差异有统计学意义（P＜0.05）；观察组产妇的胎盘粘连、胎盘植入、子宫破裂以及前置胎盘具有多于对照组产妇，差异有统计学意义（P＜0.05）；通过对分析发现：胎盘粘连、胎盘植入、子宫破裂以及前置胎盘是瘢痕子宫患者再次妊娠剖宫产产后出血的重要因素，差异有统计学意义（P＜0.05）。结论：胎盘粘连、胎盘植入、子宫破裂以及前置胎盘是瘢痕子宫患者再次妊娠剖宫产产后出血的重要因素，在产前应对患者进行严格的筛选，以确保产妇产后生命安全。 　　【关键词】瘢痕子宫；再次妊娠；剖宫产；产后出血 　　【中图分类号】R714 【文献标识码】A 【文章编号】1007-8231（2016）18-0027-02 　　 Related factors of postpartum hemorrhage of cesarean section in patients with scar uterus 　　【Abstract】Objective To analyze the related factors of postpartum hemorrhage in cesarean section of scar uterus, and summarize the corresponding preventive measures. Methods A retrospective analysis of the 2015 year in the Department of gynecology and obstetrics in our hospital accepted cesarean section surgery in patients with uterine scar, as the observation group (n=50); and decimation over the same period in our hospital accept first cesarean section (n=50) and as the control group. Observe and record the two groups of maternal bleeding, complications, and analysis of the observation group of postpartum hemorrhage related factors. Results The observation group of patients with postpartum hemorrhage rate and average amount of bleeding was significantly higher than that of the control group, the difference is statistically significant (Plt;0.05). Conclusion Adherent placenta, placenta accreta, rupture of uterus and placenta previa is in patients with uterine scar pregnancy cesarean section of the important factors of postpartum hemorrhage, in patients with prenatal of strict screening, to ensure the safety of the postpartum. 　　【Key words】Scar uterus; Pregnancy again; Cesarean section; Postpartum hemorrhage 　　瘢痕子宫是指在子宫部位出血较大瘢痕，通常情况子宫不容易怀孕，若怀孕极易对患者的子宫造成危害（既是子宫剖裂），并且会引发严重的并发症。临床研究表明，瘢痕