产妇产后出血的临床分析

目的：探讨产后出血的各种高危因素、病因及相关预防措施，减少产后出血的发生率，降低孕产妇病死率。方法2008年1月1日至2010年12月31日在合肥市第二人民医院分娩发生产后出血的产妇为232例、2011年1月1日至2014年12月31日分娩发生产后出血的产妇为178例，回顾分析产妇临床资料、产后出血的高危因素及病因。结果两个阶段产后出血部分病因构成比例稍有变化，高龄、巨大儿、产次、妊娠合并症是产后出血发生的相关危险因素(P<0．05)，而分娩方式与产后出血的差异无统计学意义(P>0．05)。结论产科需加强孕期管理，正确评估产后出血的高危因素及病因，积极采取预防措施，降低产后出血发生率，降低孕产妇病死率。

The clinical analysis of postpartum hemorrhage

Objective To explore the various high-risk factors and causes and relevant preventive measures of postpartum hemor-rhage to reduce the incidence of postpartum hemorrhage and maternal mortality. Methods The clinical data of 232 cases( from January 1, 2008 to December 31, 2010) and 178 cases ( from January 1, 2011 to December 31, 2014) puerperas who had postpartum hemorrhage in the hospital were retrospectively analysed;the risk factors and the causes of postpartum hemorrhage were determined. Results The causes of wo phases of postpartum hemorrhage had a slight change in composition. Age, macrosomia, production time and pregnancy complications were the related risk factors for postpartum hemorrhage(P<0. 05);however, delivery way had no statistical significance in postpartum hem-orrhage( P>0. 05 ) . Conclusion Obstetricians need to strengthen the management of pregnancy, evaluate the risk factors of postpartum hemorrhage and its etiology correctly, take preventive measures actively to reduce the incidence of postpartum hemorrhage and reduce mater-nal mortality.