产后出血352例临床分析

目的探讨产后出血的发生率、原因及处理措施.方法回顾性分析1995年10月至2004年10月收治的352例产后出血病例.结果产后出血的发生率为1.668%,1998年至2004年的发生率1,494%（221/14 793）,较1995年至1997年的发生率2.078%（131/6 304）明显降低（P＜0.05）.产后出血在剖宫产、产钳助产、阴道顺产中的发生率分别为4.094%、3.148%、0.815%,剖宫产的产后出血发生率高于阴道顺产,差异有显著意义（P＜0.05）;产钳助产的产后出血发生率高于阴道顺产,差异有显著意义（P＜0.05）;剖宫产的产后出血发生率高于产钳助产,但差异无显著意义（P＞0.05）.宫缩乏力是产后出血的主要原因.结论提高剖宫产操作技术及预防宫缩乏力,可以降低产后出血的发生率.

The clinical study of 352 cases of postpartum hemorrhage

Objective To discuss the morbidity,etiology,treatment of postpartum hemorrhage.Methods A retrospective analysis was performed in 352 postpartum hemorrhage from October 1995 to October 2004.Results The morbidity of postpartum hemorrhage was 1.668%,the morbidity from 1998 to 2004(1.494%) was significantly lower than that from 1995 to 1997(2.078%)(P<0.05).In caesarean section,forceps delivery and vaginal delivery,the morbidity of postpartum hemorrhage was 4.049%,3.148% and 0.815% respectively,the morbidity of postpartum hemorrhage occurred after caesarean section was higher than vaginal delivery(P<0.05),the morbidity of postpartum hemorrhage in forceps delivery was higher than vaginal delivery(P<0.05),the morbidity of postpartum hemorrhage in caesarean section was higher than forceps delivery(P>0.05).The chief reason of postpartum hemorrhage was uterine inertia.Conclusion Improvement the technic of caesarean section and prevention uterine inertia can reduce the morbidity of postpartum hemorrhage.