产妇产后出血的临床处理及预防措施

Clinical treatment and prevention measures for postpartum hemorrhage

目的探讨产妇产后出血的预防及临床处理措施。方法回顾性分析笔者所在医院2006年6月～2010年6月45例产后出血产妇(观察组)和45例未发生产后出血产妇(对照组)的临床资料,对两组产妇是否进行孕期保健、围生期保健及产程处理等进行分析比较。同时对45例观察组产妇产后出血原因进行分析并采取对应的治疗措施,观察止血效果。结果观察组各种产后出血预防措施的实施情况与对照组比较,差异有统计学意义(P<0.05)。观察组产后出血原因主要有宫缩乏力、软产道损伤及胎盘因素,所占比例分别为66.67%、13.33%、8.89%。分别采取子宫按摩或宫腔填塞、软产道裂伤缝合及取盘术等方法处理后,均达到止血效果,无一例发生大出血死亡。结论产后出血最常见的原因为子宫收缩乏力,其次为软产道损伤及胎盘因素,可通过加强孕期保健及产程处理等预防措施有效防止产后出血,同时根据产妇出血原因采取合适的处理措施,可有效止血。

Objective To study the prevention and clinical treatment measures of postpartum hemorrhage.Methods Retrospectively analysed the data of 45 cases with postpartum hemorrhage（the observation group）and 45 cases who did＇t occurred postpartum hemorrhage（control group）from June 2006 to June 2010.Compared the perinatal period prenatal care,health care and treatment process of two groups,and analysed the cause of postpartum hemorrhage of the observation group.Results The difference of kinds of prevention measures between the two groups was statistically significant（P0.05）.The reasons of postpartum hemorrhage in observation group were contractions fatigue,soft birth canal injury and placenta factors,the percentage were 66.67%,13.33% and 8.89%.By using uterine massage,take effective stuffiness,suture the soft birth canal laceration and take plate method respectively,no case dead.Conclusion The most common reason of bleeding after delivery was uterine contractions fatigue,followed by soft birth canal injury and placenta factors,but the strengthening prenatal care and prevention measures were treatment to prevent postpartum hemorrhage,and adopted suitable processing measures according to maternal bleeding reasons,which can effectively stop bleeding.