产后出血109例的防治与护理

Postoartum hemorrhage 109 example preventing and controlling and nursing

目的：进一步探讨降低产后出血发生率及原因.方法：对我院4年来（2006年5月～2010年5月）分娩的4240例产妇中发生产后出血的109例进行回顾性分析.结果：产后出血发生率为2.57%,产后出血发生在2h内95例（87%）,＞2h 14例（13%）.出血原因主要为子宫收缩乏力、胎盘因素、软产道裂伤等.其中剖宫产分娩比阴道分娩发生产后出血要高,差异有显著性（P〈0.01）.结论：认为做好产前、产时、产后监测,合理掌握剖宫产指征,可以有效降低产后出血率.

Objective：Further discusses reduces postpartum hemorrhage formation rate and the reason. Methods： （In May, 2006 2010 years in May） in the childbirth 4240 example parturient woman has the postpartum hemorrhage 109 examples to my courtyard for 4 years to carry on the review analysis. Results： Postpartum hemorrhage formation rate is 2.57%, postpartum hemorrhage occurs in 2h 95 example（87%）,〉2h 14 examples（13%）. Hemorrhage reason mainly for womb contraction asthenia, placenta factor, soft birth canal lacerated wound and so on. In which splits the palace to produce the childbirth to have postpartum hemorrhage the vagina childbirth to have to be higher than,the difference has the significance（P〈0.01）. Conclusion：Thought completes pre--natal, produces when, post--natal monitor, reasonable grasping splits the palace to produce refers drafts, may reduce postpartum hemorrhage rate effectively.