自然分娩产妇宫缩乏力性产后出血影响因素Logistic回归分析

Logistic regression analysis on influential factors for uterine inertia postpartum hemorrhage of natural childbirth puerpera

目的:探讨自然分娩产妇宫缩乏力性产后出血影响因素与预防对策。方法:采用根据相关文献制定的可能自然分娩产妇宫缩乏力性产后出血影响因素自编问卷和抑郁自评量表和焦虑自评量表调查2010年8月～2012年8月在该院产科分娩的32例自然分娩宫缩乏力性产后出血产妇和同期在该院产科分娩的无产后出血的2 078例自然分娩产妇,采用描述性统计和二分类Logistic回归分析对自然分娩产后出血影响因素进行分析,并提出针对性的预防干预措施。结果:母婴早接触吸吮是自然分娩产妇出现宫缩乏力性产后出血的保护因素,而焦虑情绪、抑郁情绪、不良产程干预和妊娠并发症是自然分娩产妇出现宫缩乏力性产后出血的危险因素。结论:自然分娩产妇宫缩乏力性产后出血受多方面因素的影响,在临床医疗过程中可以通过采用针对性的干预措施来减少宫缩乏力性产后出血的发生,改善患者的预后。

Objective： To investigate the influential factors and prevention measures of uterine inertia postpartum hemorrhage of natural childbirth puerpera. Methods： A self - made questionnaire on influencial factors of natural childbirth maternal uterine inertia postpar- tum hemorrhage, a Self- Rating Anxiety Scale （SAS） and a Self - Rating Depression Scale （SDS） were made. 32 cases of natural child- birth puerpera suffering from uterine inertia postpartum hemorrhage from August 2010 to August 2012 and 2 078 cases of natural childbirth puerpera without postpartum hemorrhage at the same period were selected. Descriptive statistics and binary classification logistic regression a- nalysis were used to find out the influential factors of natural childbirth maternal uterine inertia postpartum hemorrhage and preventive inter- vention measures were put forward. Results： The mother - to - child early contact sucking was one of the protective factors for uterine inertia postpartum hemorrhage. And anxiety, depression, bad labor intervention and pregnancy complications were the risk factors. Conclusion： Natural childhirth maternal uterine inertia postpartum hemorrhage is influenced by many factors. In the clinical process, targeted interven- tions can be used to reduce the incidence of uterine inertia postpartum hemorrhage and improve prognosis.