产后出血高危评分系统结合改良早期预警评分对产后出血风险的研究

Study on the risk of postpartum hemorrhage by high risk scoring system of postpartum hemorrhage and improved early warning score

目的探讨产后出血高危评分系统结合改良早期预警评分对产后出血风险研究的可行性。方法选取2017年1月～2018年1月我院收治的80例产后出血产妇与同期收治的234例未出现产后出血产妇作为研究对象,使用完全随机的方式将80例产后出血产妇分为观察组与对照组,每组40例。对产妇的病情进行评估,依据是产后出血高危评分系统,同时采用改良早期预警评分实施救治措施,研究其可行性。结果产妇的产次、人工流产史、体重指数(BMI)、产前宫底高度、产道裂伤、胎儿腹围、羊水过多、前置胎盘、剖宫产等19个因素是产后出血的影响因素(P<0.05)。人工流产史、各类妊娠期并发症、剖宫产是产后出血的高危因素(P<0.05)。观察组的产后出血发生率为7.50%,明显低于对照组的15.00%,差异有统计学意义(P<0.05);观察组产妇的总满意度为92.50%,高于对照组82.50%,差异有统计学意义(P<0.05)。结论产后出血高危评分系统结合改良早期预警评分能够针对患者的具体情况实施针对性的管理与治疗,提高了急救成功率与护理工作满意度,有效预防了产后出血的发生,值得推广。

Objective To investigate the the feasibility of the high risk score system for postpartum hemorrhage combined with the improved early warning score for postpartum hemorrhage risk study.Methods All of 80 cases of postpartum hemorrhage treated in our hospital from January 2017 to January 2018 and 234 cases having no postpartum hemorrhage in the same period were selected as subjects.All of 80 puerperas of postpartum hemorrhagic were divided into the observation group(n=40)and control group(n=40).The maternal condition was assessed on the basis of the high-risk scoring system for postpartum hemorrhage,and the improved early warning score was used to implement treatment measures to study its feasibility.Results All of 19 factors influencing postpartum hemorrhage were maternal parity,history of induced abortion,BMI,antenatal uterine floor height,birth canal laceration,fetal abdominal circumference,excessive amniotic fluid,placenta previa and cesarean section(P<0.05).The history of induced abortion,complications during pregnancy and cesarean section were high risk factors for postpartum hemorrhage(P<0.05).The incidence of postpartum hemorrhage in the observation group was 7.50% ,which was significantly lower than that in the control group(15.00% ),and the difference was statistically significant(P<0.05).The total satisfaction rate of the observation group was 92.50% ,which was higher than that of the control group(82.50% ),and the difference was statistically significant(P<0.05).Conclusion Postpartum hemorrhage high-risk score system combined with improved early warning score can implement targeted management and treatment according to the specific conditions of patients,improve the success rate of first aid and nursing job satisfaction,effectively prevent the occurrence of postpartum hemorrhage,it is worth promoting.