软产道裂伤90例临床探究

Clinical Exploration on 90 Cases with Soft Birth Canal Laceration

目的：分析因软产道裂伤导致的产后出血的具体原因及处理方法。方法：将2011年1月-2013年1月笔者所在医院产科收治的因软产道裂伤引起的90例产后出血病患作为研究对象，回顾性分析病患出现软产道裂伤的原因及处理方法。结果：第一产程〈1 h者及第二产程〈0.5 h者产道裂伤发生率最高；第一产程8-16 h及第二产程1-2 h者产道裂伤发生率次之，而未超过产程警戒线及处理线者产道裂伤发生率最低。结论：软产道裂伤和产程、胎儿大小等因素有关，全面掌握软产道裂伤的原因，对做好预防产后出血工作具有重要意义。

Objective：The specific causes and treatment methods of post-partum hemorrhage caused by soft birth canal laceration were analyzed. Method：A total of 90 cases with post-partum hemorrhage caused by soft birth canal laceration in our hospital from January 2011 to January 2013 were chosen as study objects,and the causes and treatment methods of patients were m retrospectively analyzed.Result：The incidence rate of soft birth canal laceration in patients whose first stage of labor was shorter than 1 hour or the second stage of labor was shorter than 0.5 hour was the highest.The incidence rate of soft birth canal laceration in patients whose first stage of labor was from 8 to 16 h or whose second stage of labor was from 1 to 2 h was the middle one.The incidence rate of soft birth canal laceration was lowest in patients whose stage of labor was not higher than the warning line and dispose line.Conclusion：Soft birth canal laceration is correlated with the stage of labor,fetal size and other factors,and mastering the reasons of soft birth canal laceration has a significance for doing a good job in preventing post-partum hemorrhage work.