64例产后出血的临床分析

A clinical analysis of 64 cases of postpartum hemorrhage

目的 探讨发生产后出血的相关因素及防治措施。方法 调查 1998～ 2 0 0 2年在我院分娩发生产后出血的人次及出血原因 ,并对发生产后出血的相关因素进行分析。结果 产后出血的首要原因为宫缩乏力 ,占 6 2 5 % ;剖宫产产后出血发生率 (5 1% )与阴道产产后出血发生率 (3 1% )间差别有显著性意义 (χ2 =3 84 ,P <0 0 5 ) ;有人工流产、引产史者产后出血发生率 (8 0 % )与无流产、引产史者产后出血发生率 (2 0 % )间差别有显著性意义 (χ2=31 9,P <0 0 5 ) ;初产妇产后出血发生率 (3 8% )与经产妇产后出血发生率 (5 6 % )间差别无显著性意义 (χ2 =1 4 6 ,P >0 0 5 )。结论 防治产后出血的关键是减少宫缩乏力、控制剖宫产及减少不必要的流产、引产。

Objective To investigate the related factors and prevention measures of postpartum hemorrhage.Methods Prefecture during the last five years,64 cases of postpartum hemorrhage were reviewed.Results The incidence of postpartum hemorrhage was 4.1%(64/1557).The chief reason was uterine inertia,taking up 62.5%(40/64).The incidence of postpartum hemorrhage that occurred in cesarean section was 5.1%,which was higher than vaginal delivery (P<0.05).There were significant differences in the rate of postpartum bemorrhage between primipara and those women who had artificial abortion or induced labor(χ 2=1.46,P>0.05).Conclusion Reducing the uterine inertia and cesarean section and accidental pregnancy maybe the key to reduce the incidence of postpartum hemorrhage.