高危妊娠产妇产后出血原因分析及预防

The Postpartum Hemorrhage cause Analysis and Precautionary Measures of High-risk Pregnancy Lying-in Woman

目的探讨高危妊娠产妇产后出血的原因以及预防措施。方法收集2012年11月至2014年12月经我院确诊的40例高危妊娠产妇资料,依据处理措施不同将40例产妇均分为对照组(20例)和观察组(20例)。对照组产妇给予产后常规的措施,而观察组产妇则在产后给予催产素,同时给予宫颈注射或肌内注射益母草注射液,并进行适当的腹部按摩。观察两组产妇的高危原因及产后出血原因和出血量。结果观察组产妇产后2 h内和24 h的平均出血量均低于对照组(均P<0.05),差异有统计学意义。子宫收缩乏力、软产道裂伤、胎盘问题以及凝血功能障碍等因素是导致高危妊娠产妇产后出血的原因。结论产妇应加强产前检查,尤其对于高危产妇而言,给予益母草注射液进行治疗,对减少产后出血现象、提高产妇的生活质量有着重要意义。

Objective To approach postpartum hemorrhage cause analysis and precautionary measures of High-risk pregnancy lying-in woman.Methods From 2012 November to 2014 12 menstrual hospital diagnosed 40 cases of high-risk pregnancy parturient data,according to different treatment methods 40 primiparas were divided into control group 20 cases and observation group of 20 cases.The control group received postpartum conventional measures,and the observation group was given oxytocin on postpartum,both by cervical injection or intramuscular injection of Leonurus Heterophyllus Injection,and appropriate abdominal massage.Observe two groups of puerperas causes high risk causes and postpartum hemorrhage and the amount of bleeding.Results The observation group postpartum within 2 h and 24 h of the average amount of bleeding was lower than that of control group （P〈0.05）,the difference was statistically significant.Uterine atony, soft birth canal laceration,placenta and blood coagulation dysfunction and other factors is a problem that causes high risk of postpartum hemorrhage pregnancy.Conclusion Antenatal should strengthen antenatal examination,especially for high risk,Injection of leonurus injection,which has decrease postpartum hemorrhage,which has increase quality of life for important significance.