影响产后出血量多因素分析.PDFVIP

现代妇产科进展 2004 年 3 月第 13 卷第 2 期 　Prog Obstet Gynecol ,Mar. 2004 ,Vol. 13 ,No. 2 ·论著· 影响产后出血量多因素分析 1 2 苗　青 ,于　珍 (1.济南铁路中心医院 ,济南　250001 ;2. 济南市中区计划生育服务中心) 　　【摘要】　目的 :分析胎儿娩出后2h 出血量,探讨影响产后出血量的危险因素。方法 :搜集 511 例产妇 97 个变量的资料 ,对可能影响产后出血量的每个因素进行回顾性相关回归分析。 结果:与胎儿娩出后2h 出血量有统计学意义的相关因素有孕前和临产前体重,体重指数 ,腹 围,宫高,胎儿体重和身长 ,第二产程时间 ,不孕史 ,难产家族史 ,并发妊高征 ,双胎 ,悬垂腹 ,手术 产 ,胎盘位置等。宫颈评分高产后出血量减少。结论:通过分析影响产后出血量的危险因素 , 可以预测产后出血量 ,采取措施预防产后出血。 【关键词】　产后出血量;多因素分析;危险因素 + ( ) 中图分类号:R714. 76 1 　文献标识码 :A 　文章编号 :1004 - 7379 2004 02 - 0125 - 03 The multivariate analysis on the amout of postpartum hemorrhage. Miao Qing , Yu Zhen . Railway Central Hospital of Jinan , Jinan 250001 【Abstract 】　Objective :To analyse the bleeding amount after delivery in two hours ,to explore the risk factors that affected the amount of postpartum hemorrhage. Method :The data were got from the 511 cases after delivery. There were 97 factors which affected the amount of postpartum hemorrhage. These factors were analyzed by correlation regression. Result :There were statistically significant correlation be tween the bleeding amount after delivery in two hours with the weight before pregnancy and labour ,weight index ,abdominal circumference ,uterine height ,fetus weight and height ,second stage of labour ,infertility ( ) history ,abnormal family history ,pregnancy induced hypertension PIH ,twin pregnancy ,placenta position and the method of delivery. Conclusion :Through analyzing ,the bleeding risk factors can be forecasted and decreased. 【Key words】　Postpartum hemorrhage ;Multivariate analysis ;Risk factors 　　正常分娩出血量最多不超过 300ml ,产后出血 80 % 上纱布和敷料浸血量 ,术后回病房出血量用特制弯盘测量2 。