探讨高龄产妇剖宫产术后出血的危险因素

Investigation of the Risk Factors Related to Postpartum Hemorrhage in Elderly Parturient Women with Cesarean Section

目的统计分析高龄产妇剖宫产术后出血的危险因素。方法以2010年1月—2014年6月在该院进行手术的350例高龄产妇作为研究对象,按照出血量分为产后出血组和非出血组,对两组研究对象的出血量进行统计,分析两组患者的年龄、怀孕时间、是否合并妊娠高血压、糖尿病、是否有宫缩乏力、流产史、产后出血史、吸烟、饮酒、巨大儿、前置胎盘以及体重指数等方面的差异。结果该研究的高龄产妇剖宫产后发生出血者38例,发生率为10.90%,产后出血组中术中和术后出血量分别为(1513.45±156.34)m L和(1245.32±55.21)m L;产后非出血组为312例,术中和术后的出血量分别为(221.25±67.21)m L和(108.21±65.24)m L,两组比较差异有统计学意义(P<0.05)。妊娠高血压、妊娠期糖尿病、流产病史、巨大儿、宫缩乏力和前置胎盘是高龄产妇发生产后出血的危险因素。结论高龄孕妇剖宫产产后出血的发生率较高,在临床中必须对相关危险因素进行严格的控制。

Objective To count and analyze the risk factors related to postpartum hemorrhage in elderly parturient women with ce-sarean section. Methods Three hundred and fifty elderly parturient women underwent surgery in our hospital from January 2010 to June 2014 were selected as the subjects and divided into the postpartum hemorrhage group and postpartum non-bleeding group in accordance with the amount of bleeding. The amount of bleeding of the two groups was counted. And the age, pregnancy time, gestational hypertension, diabetes, contractions fatigue, history of abortion, postpartum hemorrhage, smoking and drinking, macro-somia, placenta previa and body mass index were compared between the two groups. Results Of the elderly parturient women in this study, there were 38 cases with postpartum hemorrhage, the incidence of postpartum hemorrhage was 10.90%. The intraopera-tive and postoperative hemorrhage of the postpartum hemorrhage group was （1513.45±156.34）mL, （1245.32±55.21） mL, respective-ly, and that of the 312 cases in the postpartum non-bleeding group was （221.25 ±67.21）mL, （108.21 ±65.24）mL, respectively, the differences between the two groups were statistically significant （P〈0.05）. Gestational hypertension, gestational diabetes, history of abortion, macrosomia, contractions fatigue and placenta previa were the risk factors causing postpartum hemorrhage in elderly par-turient women. Conclusion As the incidence of postpartum hemorrhage in elderly parturient women is high, the risk factors related to postpartum hemorrhage should be controlled strictly in clinical practice.