142例产后出血原因及相关危险因素的临床分析

Clinical analysis of causes of postpartum hemorrhage and associated risk factors

目的分析产妇产后出血原因以及相关危险因素，探讨有效的防治措施，降低产后出血发生率。方法选取2012年1月至2014年1月霍州市人民医院产妇资料2135例，其中产后出血142例。回顾性分析患者临床资料，总结产后出血原因，并根据产妇临床资料探讨相关因素。结果宫缩乏力例数最多，为90例，占总数的63．38％；胎盘N素其次，有31例，占总数的21．83％；软产道裂伤14例，占总数的9．86％；凝血功能障碍7例，占总数的4．93％。根据产妇临床资料探讨相关因素发现，相关危险因素有分娩方式、基础疾病、宫内因素、胎儿因素以及精神因素和流产史。结论分析产后出血原因以及相关危险因素，及时采取有效措施对降低产后出血发生率有重要意义。

Objective To analyze the causes of postpartum hemorrhage and associated risk factors, investigate the effective prevention measures in order to reduce the incidence of postpartum hemorrhage. Methods From January 2012 to January 2014, 2135 cases of maternity in People＇s Hospital of Huozhou, including 142 cases of postpartum hemorrhage were selected. The clinical data were retrospectively analyzed, the reasons of postpartum hemorrhage were summarized and the related factors were investigated according to maternal clinical data. Results There were 90 cases of uterine inertia, accounting for 63.38% ; 31 cases of placental factors, accounting for 21.83% ;14 cases of soft birth canal laceration, accounting for 9. 86% ;7 cases of coagulation disorders, accounting for 4.93%. The related risk factors were delivery mode, underlying disese, intrauterine factors, fetal factors, psychological factors and abortion. Conclusions The analysis of causes of postpartum hemorrhage and related risk factors, taking timely and effective measures are important for reducing the incidence of postpartum hemorrhage.