136例产后出血病人的护理研究

Study on the Nursing for 136 Cases with Postpartum Hemorrhage

目的研究产后出血病人的护理措施。方法将2014年1月—2015年1月期间,在该院进行分娩的产妇4500例,作为该研究的对象,针对其中产后出血的病人产后出血的原因,并针对不同妊娠方法、孕周等情况下的并发症等发生情况进行比较。结果该研究中产后出血出血的产妇有136例,产后出血的发生率为3.02%(136/4500)。造成产后出血的危险因素以及其所占的比例分别为为宫缩乏力44.85%(61/136),胎盘因素39.71%(54/136),软产道损伤7.35%(10/136),凝血功能障碍1.47%(2/136),原因不明6.62%(9/136)。针对产后出血因素进行多因素分析,其中孕周、产程、妊娠合并症、分娩方式经统计学比较,P<0.05,具有统计学意义。结论通过对产后出血病人的产后出血因素等进行分析,产后出血的影响因素有很多,宫缩乏力是第一大影响因素,胎盘因素是第二大影响因素,还有其他的影响因素,影响着产妇的生命安全,所以需要加强产后出血的预防,制定产后出血护理方案,加强产前、产中、产后护理,并提高护理质量。

Objective To study the nursing for postpartum hemorrhage.Methods 4500 puerperants underwent delivery in our hospital from January 2014 to January 2015 were selected as the subjects of this study.The reasons caused postpartum hemorrhage in some puerperants were analyzed.And the occurrence of complications was compared between the patients with different gestation methods,gestational age and so on.Results In this study,a total of 136 puerperants had postpartum hemorrhage,the incidence of postpartum hemorrhage was 3.02%（136/4500）.The reasons that caused postpartum hemorrhage were uterine inertia,placenta factor,soft birth canal injury,coagulation disorders and unknown reasons,accounting for 44.85%（61/136）,39.71%（54/136）,7.35%（10/136）,1.47%（2/136）,6.62%（9/136）,respectively.The analysis of the reasons causing postpartum hemorrhage showed that the difference in the incidence of postpartum hemorrhage caused by gestational age,duration of labor,complication of pregnancy and delivery mode was statistically significant,P〈0.05.Conclusion The analysis of the reasons causing postpartum hemorrhage indicated that many factors can cause postpartum hemorrhage,of which,uterine inertia is the first and placenta factor is the second influencing factor,these two and other influencing factors affect the life of puerperants,so in order to prevent the postpartum hemorrhage,the nursing regimen for postpartum hemorrhage needs to be formulated,antenatal,natal and postnatal care needs to be strengthened,and nursing quality needs to be improved.