多产产妇产后出血的危险因素及护理

Risk Factors of Postpartum Hemorrhage and Its Nursing Care for Repeated Pregnancy Women

目的:探讨多产产妇产后出血的危险因素及护理对策。方法:根据产后是否出血将540例多产产妇分为观察组(280例)与对照组(260例),分析其危险因素,探讨护理策略。结果:单因素分析显示,观察组高龄、合并妊娠高血压疾病、前置胎盘、胎盘早剥、剖宫产分娩、宫缩乏力比例均显著高于对照组(P<0.05、P<0.01);多因素Logistic回归分析显示,高龄、前置胎盘、胎盘早剥、剖宫产分娩、宫缩乏力为引起多产产妇产后出血的危险因素。结论:对于多产产妇,临床需了解引起产妇产后出血的危险因素,并通过合理的护理干预改善预后。

Objective： To investigate the risk factors of postpartum hemorrhage in repeated pregnancy women and their nursing countermeasures.Methods： According to the situation of bleeding or not after delivery, 540 cases of repeated pregnancy women were divided into observation group（280 cases） and control group（260 cases） to analyze the risk factors and investigate nursing countermeasures. Results： Single factor analysis showed that, the proportion of advanced maternal age, pregnancy induced hypertension, placenta praevia, placental abruption, cesarean section and uterine inertia in observation were significantly higher than those of control group（P0.05, P0.01）; multiple factor Logistic regression analysis showed that,advanced maternal age, placenta praevia, placental abruption, cesarean section and uterine inertia were the risk factors that caused postpartum hemorrhage in repeated pregnancy women. Conclusion： For repeated pregnancy women, it＇s necessary to know about the risk factors of postpartum hemorrhage and improve their prognosis by reasonable nursing interventions.