产后出血影响因素及临床护理对策

Factors Affecting Postpartum Hemorrhage and Clinical Nursing Strategies

目的探讨产后出血的影响因素,提出针对性护理对策。方法选取2017年3月至2018年6月在我院住院分娩的产妇282例,分为干预组(产后出血, 22例)和常规组(未发生产后出血, 260例),收集两组产妇的一般临床资料和可疑危险因素,分析产后出血发生的影响因素,根据相关危险因素提出护理对策。结果单因素分析显示,年龄、妊娠合并高血压、妊娠合并糖尿病、剖宫产、前置胎盘、多胎妊娠在干预组和常规组中比较有统计学差异(P <0.05)。多因素分析显示,年龄(OR=2.341, 95%CI为1.214～12.214)、妊娠合并高血压(OR=3.221, 95%CI为1.315～15.214)、妊娠合并糖尿病(OR=3.654, 95%CI为1.614～15.999)、剖宫产(OR=1.947, 95%CI为1.051～11.301)、前置胎盘(OR=2.554, 95%CI为1.310～12.514)及多胎妊娠(OR=3.064, 95%CI为1.225～15.451)为影响产后出血的独立危险因素。结论影响产后出血危险因素较多,临床中针对相关危险因素实施护理对策对减少产后出血有重要的临床价值。

Objective To explore the influencing factors of postpartum hemorrhage, and to propose targeted nursing strategies. Methods 282 cases of hospitalized delivery puerperas in our hospital from March 2017 to June 2018 were selected and were divided into intervention group (postpartum hemorrhage, 22 cases) and routine group (non-postpartum hemorrhage, 260 cases). The general clinical data and suspicious risk factors of the two groups were collected, and the influencing factors affecting postpartum hemorrhage were analyzed. The nursing countermeasures were proposed according to the relevant risk factors. Results Univariate analysis showed that age, pregnancy with hypertension, pregnancy with diabetes, cesarean section, placenta previa and multiple pregnancy were statistically significant in the intervention group and the routine group (P <0.05). Multivariate analysis showed that age (OR = 2.341, 95%CI 1.214 ~ 12.214), pregnancy with hypertension (OR = 3.221, 95%CI 1.315 ~ 15.214), pregnancy with diabetes (OR = 3.654, 95%CI 1.614 ~ 15.999), cesarean section (OR = 1.947, 95%CI 1.051 ~ 11.301), placenta previa (OR = 2.554, 95%CI 1.310 ~ 12.514) and multiple pregnancy (OR = 3.064, 95%CI 1.225 ~ 15.451) were independent risk factors for postpartum hemorrhage. Conclusions There are many risk factors affecting postpartum hemorrhage. Implementing nursing strategies for relevant risk factors in clinical practice has important clinical value in reducing postpartum hemorrhage.