妊娠糖尿病患者发生产后出血的影响因素分析

Analysis of the Influencing Factors of Postpartum Hemorrhage in Patients with Gestational Diabetes Mellitus

目的:探究妊娠期糖尿病(GDM)患者产后出血(PPH)的影响因素.方法:选取2020年5月至2023年3月本院收治的121例GDM患者为研究对象.根据PPH情况,将其分为研究组(n=38,发生PPH者)和对照组(n=83,未发生PPH者).采用多因素非条件Logistic回归分析方法导致GDH患者发生PPH的独立影响因素.结果:121例GDM患者中,符合PPH临床诊断标准者为38例.两组患者孕次、宫缩乏力、凝血功能障碍、胎盘异常等比较,差异均有统计学意义(P<0.05).对上述统计学分析有统计学意义的因素,采用多因素非条件Logistic回归分析结果显示,孕次多、存在胎盘异常、有凝血功能障碍、宫缩乏力均是导致GDM患者发生PPH的独立危险因素(OR>1,P<0.05).结论:孕次、宫缩乏力、凝血功能障碍、胎盘异常均是导致GDM患者发生PPH的独立影响因素,临床应针对性地采取措施,降低其PPH发生率.

Objective:To investigate influencing factors of postpartum hemorrhage(PPH)in patients with gestational diabetes mellitus(GDM).Methods:A total of 121 GDM patients in our hospital from May 2020 to March 2023 were selected as the research objects.And they were divided into study group(n=38,with PPH)and control group(n=83,without PPH).according to the situation of PPH.The clinical data of GDM patients were collected,and the influencing factors of PPH of GDM patients were analyzed.Results:Among 121 GDM patients,38 cases met the evaluation criteria of PPH.There were significant differences in pregnancy times,uterine atony,coagulation dysfunction,and placental abnormalities between the two groups(P<0.05).According to multivariate unconditional logistic regression analysis,multiple pregnancies,placental abnormalities,coagulation dysfunction,and uterine atony were the risk factors for PPH in GDM patients(OR>1,P<0.05).Conclusion:Pregnancy times,uterine atony,coagulation dysfunction and placental abnormalities are the risk factors of PPH in GDM patients.Specific countermeasures should be given to reduce the incidence of PPH in GDM patients.