160例产后出血危险因素分析及其防治的临床意义

160 cases of postpartum hemorrhage risk factors and prevention of clinical significance

目的：探讨产后出血发生的原因、危险因素及防治措施。方法：对近10年收治的160例产后出血病人的临床资料进行分析。结果：产后出血发生率3．78％，发生在2h内88．75％；产后出血的原因为宫缩乏力、胎盘因素、软产道裂伤、凝血功能障碍等。危险性因素包括未进行孕期保健、有妊娠并发症及孕产史、剖宫产、产程延长、多胎巨大儿羊水过多、缺乏早接触及吸吮等。结论：产后出血是产科并发症之一，发生率较高，与多种因素有关，加强孕期保健、严格剖宫产指征、提高医务人员专业技术、加强产后观察等对减少产后出血有着积极的临床临床意义。

Objective Investigate the causes of postpartum hemorrhage, the risk factors and prevention measures. Methods Nearly 10 of the 160 cases treated postpartum hemorrhage patient＇s clinical data analysis. Results The incidence of postpartum hemorrhage 3.78 percent, occurred in 2 h, 88.75 percent; Postpartum hemorrhage due to uterine inertia, the placenta, soft-Road laceration, blood coagulation and other obstacles. Risk factors include not conducted during pregnancy health care, complications of pregnancy and motherhood a history of cesarean section, the labor extension, Multi-fetal macrosomia too much anmiotic fluid, the lack of early contact and suck, and so on. Conclusions Postpartum hemorrhage is one of obstetric complications, higher rates, and a variety of factors, strengthening health care during pregnancy, Strict indications caesarean section, enhance medical staff expertise and strengthen post-natal observation to reduce postpartum bleeding has a positive clinical clinical significance.