产后出血原因及高危因素分析宁桂香.docVIP

产后出血原因及高危因素分析宁桂香 宁桂香 (广丙全州县妇幼保健院广丙全州541500) 【摘要】目的：分析探讨产后出血的原因及高危因素，从而有针对性的防 治产后出血，降低孕产妇死亡率。方法：选择2012年4月至2014年5月我院的 158例产后出血的产妇作为研究对象，对他们的临床资料进行系统的、回顾性的 分析，总结出产后出血原因及高危因素，并提出相应的治疗和预防措施。结果: 导致产后出血的因素众多，主要有宫缩乏力因素、胎盘因素、软产道裂伤因素及 凝血功能障碍因素，宫缩乏力因素是造成产后出血的最主要因素，占总比的 67.08%,共106例，胎盘因素次之，占17.72%,共28例，剖宫产的产后出血率 高于阴道分娩：产后岀血与分娩年龄、孕产次、分娩孕周、妊娠合并症及并发症、 多胎妊娠、新生儿体重有关。结论：加强产前宣教及孕期系统保健，筛查出高危 因素，加强高危妊娠的管理，及时处理产程，减少社会因素剖宫产，以降低因产 后出血导致的合并症及孕产妇死亡率。 【关键词】产后出血；原因；高危因素；多样性；分析 【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752 (2015) 06-0110-03 The causes and the risk factors analysis of postpartum hemorrhage Ning Guixiang. Maternity and Child Care of Quanzhou County,Ning Guixiang,Quanzhou 541500, China 【Abstract】 Objective Analysis of the causes of postpartum hemorrhage and risk factors, thus targeted prevention and treatment of postpartum hemorrhage, reduce maternal mortality. Methods Choice between April 2012 and May 2014, our hospital 158 cases of postpartum hemorrhage of maternal as the research object, the clinical data of their system, were retrospectively analyzed. Results Led to numerous factors of postpartum hemorrhage, there are mainly contractions fatigue factor, placenta factor, soft birth canal laceration factors and blood coagulation dysfunction, contractions fatigue factor is the most important factor in the cause of postpartum hemorrhage, accounted for more than 67.08%, a total of 106 cases, findings and the placenta factor (17.72%), a total of 28 cases, the rate of postpartum hemorrhage of cesarean section is higher than vaginal delivery. Conclusions Improve prenatal training and the system of health care during pregnancy, screening out the risk factors, to strengthen the management of high-risk pregnancy, timely deal with labor, reducing social factors cesarean section, in order to reduce the complications caused by postpartum hemorrhage and maternal mortality. 【Key words】 Postpartum hemorrhage; The reason; Risk factors; Diversity; Analysis 产后出血是指胎儿娩出后24小吋内失血量超过500ml,剖宫产吋超过 1000ml,是分娩期的严