产后出血原因及相关危险因素临床分析

Clinical Analysis of the Causes of Postpartum Hemorrhage and Related Risk Factors

目的探究产后出血原因与相关危险因素。方法选取本院2014年4月—2016年9月收治的48例产后出血患者作为研究对象,对48例患者的一般资料做回顾性分析,采用多因素Logistic回归法对产后出血危险因素筛选分析。结果采用容积法+称量法对患者产后出血量测定,单因素分析显示年龄、胎次、分娩方式、妊娠高血压病史、宫缩乏力、胎盘粘连或植入(或)胎盘滞留、胎盘早剥产后出血发生比例对比差异具有统计学意义(P<0.05)。多因素Logistic回归结果显示,宫缩乏力、胎盘前置、胎盘粘连或植入(或)胎盘滞留、剖宫产为产后出血主要危险因素。结论产后出血与很多因素有关,为了防范产后出血,需加强对孕产妇保健知识宣教,掌握更多关于产后出血的相关知识,医护需准确把握剖宫产指征,依靠医护及产妇共同努力降低产后出血发生率,确保母婴健康。

Objective to explore the causes of postpartum hemorrhage and related risk factors.Methods 48 patients of postpartum hemorrhage in our hospital from April 2014 to September 2016 were selected as the research object.By using logistic regression method for the screening of risk factors for postpartum hemorrhage,general data of the 48 patients were retrospectively analyzed.Results Volumetric method and weighing method were used to determine the amount of bleeding,and single factor analysis showed that age, parity, mode of delivery,gestational hypertension,uterine inertia,Placenta Adhesion or implantation(or) retained placenta,placental abruption,postpartum hemorrhage rate related to potpartum hemorrhage hadstatistical significance(P < 0.05).Multivariate Logistic regression analysis showed that the uterine inertia,placenta previa,Placenta Adhesion or implantation(or) retained placenta,cesarean section werethe main risk factors of postpartum hemorrhage.Conclusion Postpartum hemorrhage is related to many factors,in order to prevent postpartum hemorrhage,hospital shouldstrengthen the maternal health care knowledge,pregnant women should learn more about the knowledge of postpartum hemorrhage,and doctors need to accurately grasp the indications of cesarean section.Throughthis joint efforts,the incidence of postpartum hemorrhage can be reduced and ensure maternal and child health.