产后出血相关因素的对照研究

Control Study of Related Factors of Postpartum Hemorrhage

目的对产后出血相关因素展开对照研究,并探讨其防治策略。方法选取2011年5月至2013年5月发生产后出血的50例产妇为病例组,取同期入院妊娠分娩未发生产后出血的50例产妇为对照组,回顾性分析两组临床资料,分析产后出血的相关因素。结果病例组的宫缩乏力、胎盘前置出血、凝血功能障碍以及软产道撕裂率显著高于对照组,差异有统计学意义(P<0.05)。结论了解并辨识产后出血高危因素,采取针对性防治措施有利于有效控制产后出血,降低产妇因产后出血所致的病死率。

Objective To explore the related factors of postpartum hemorrhage and explore its prevention and treatment strategies. Methods 50 cases of maternal postpartum hemorrhage from May 2011 to May 2013 were selected as the case group, and 50 cases of parturient without postpartum hemorrhage at the same period were selected as the control group. The clinical data of two groups were analyzed retrospectively, and the related factors of postpartum hemorrhage were anzlyed. Results The incidences of uterine inertia, placenta previa bleeding, coagulation disorders and soft birth canal avulsion of case group were significantly higher than those of control group （P〈0.05）. Conclusions The understanding and identification of risk factors of postpartum hemorrhage, and taking effective control measures are conducive to the effective control ofpostpartoan hemorrhage, and reduce maternal mortality caused by postpartum hemorrhage.