产后出血原因及相关危险因素41例临床分析.docx

?

?

产后出血原因及相关危险因素41例临床分析

?

?

【摘要】目的探讨产后出血原因和相关危险因素。方法收集2015年2月至2016年2月我院产科收治的产后出血产妇41例，作为观察组，同时收集同期收治的健康产妇41例，作为对照组，对观察组产妇产后出血的原因原因进行分析，并分别从年龄、孕次、产次、孕周、分娩方式、妊娠合并症、多胎妊娠和新生儿体重等方面对两组产妇的一般资料进行比较分析。结果观察组产妇中宫缩乏力21例，占比51.22%，胎盘、胎膜因素12例，占比29.27%，软产道损伤7例，占比17.07%，凝血功能障碍1例，占比2.44%；两组产妇在年龄、孕次、产次、孕周、分娩方式、妊娠合并症、多胎妊娠和新生儿体重方面组间差异具有统计学意义，P0.05。结论宫缩乏力是导致产妇产后出血最主要的原因，且高龄、多孕次、多产次、早产、剖宫产、妊娠合并症、多胎妊娠和巨大儿是导致产妇产后出血的高危因素，临床工作中对于上述高危风险因素应进行严格的筛查，对于存在一种或多种高危因素的产妇应予以密切关注，并积极给予临床干预，最大程度降低产后出血发生率，提高母婴安全。

【关键词】产后出血；危险因素；原因

【Abstract】objectivetoexplorethecausesofpostpartumhemorrhageandtherelatedriskfactors.MethodcollectedinFebruary2015toFebruary2015ofmaternalpostpartumhemorrhageadmittedinourhospitalobstetrics，41casesasobservationgroup，collectedatthesametimeinthesameperiodofmaternalhealth，41casesascontrolgroup，theobservationgroup.Byanalyzingthecauseofmaternalpostpartumhemorrhage，andrespectivelyfromage，pregnancytime，productiontime，gestationalage，pregnancycomplications，multiplepregnancy，childbirthwayoftwogroupsofmaternalandneonatalweightofgeneraldataforcomparativeanalysis.Resultsobservationgroupmaternalsluggishcontractionsin21cases，accountedfor51.22%，12cases，placenta，fetalmembranefactorsaccountedfor29.27%，7cases，softbirthcanalinjuryaccountedfor17.07%，bloodcoagulationdysfunctionin1case，accountedfor2.44%；Twogroupsinage，maternalpregnancytime，productiontime，gestationalage，birth，pregnancycomplications，multiplepregnancyandneonatalweightbetweengroupdifferencesstatisticallysignificant，P0.05）.Conclusioncontractionsfatigueisthemainreasonleadtomaternalpostpartumhemorrhage，andolderage，pregnanttimes，productivetimes，pretermlabor，cesareandelivery，pregnancycomplications，multiplepregnancyandmacrosomiaisthehighriskfactorsofmaternalpostpartumhemorrhage，clinicalworkshouldbedoneatriskfortheseriskfactorsinthestrictscreening，fortheexistenceofoneormoreriskfactorsofmaternalshouldbecloselywatched，andactivelygiveclinicalintervention，thegreatestdegreetoreducetheincidenceofpostpartumhemorrhage，improvematernalandchildsafety.