高龄孕产妇产后出血的处理方法及影响因素分析

目的:探讨高龄孕产妇产后出血处理方法及影响出血的因素。方法:选取我院妇产科2010年6月至2014年6月收治的80例高龄孕产妇产后出血患者作为观察组,根据产后出血原因采取相应的止血方法;同时选择正常孕产妇50例(<35岁)作为对照组。利用问卷调查方法,收集两组基本资料,对比分析。结果:经单因素分析,两组间年龄、孕周、妊娠并发症、分娩方式、新生儿体重等因素差异具有统计学意义(P<0.05)。孕次、分娩史、多胎妊娠在两组间差异无统计学意义(P>0.05)。将单因素分析具有意义的因素进入多因素Logistic回归分析,结果显示年龄、妊娠并发症、分娩方式、新生儿体重等因素对于Logistic回归模型的建立具有贡献,差异具有统计学意义(P<0.05),其中根据OR值影响产后出血危险因素依次为年龄、分娩方式、妊娠并发症、新生儿体重。结论:高龄孕产妇是发生产后出血的高危人群,其产后均采用对症治疗方式,影响产后出血的主要因素为年龄、分娩方式、妊娠并发症、新生儿体重等。

Analysis of processing methods and influencing factors of maternal age postpartum hemorrhage

Objective:To investigate the treatment of bleeding after maternity and factors affecting the elderly motherhood. Methods:80 cases of elderly extraction bleeding after motherhood maternity hospital maternity June 2010 to June 2014 were treated, taking the appropriate method to stop bleeding postpartum hemorrhage,while selecting a normal maternal 50 cases (<35 years old)as a control group.A questionnaire survey method was used to collect two sets of basic information,comparatively analyzing.Results:Age, gestational age,pregnancy complications,mode of delivery,birth weight and other factors by univariate analysis were statistically signifi-cant differences between the two groups(P <0.05),but pregnancies,childbirth history of multiple pregnancies in the two groups were no significant differences(P >0.05 ).The meaningful factors using univariate analysis enter multivariate logistic regression analysis, which showed that age,pregnancy complications,mode of delivery,birth weight and other factors had significant differences(P <0.05). According to the risk factors based on OR value of the impact of postpartum hemorrhage of postpartum hemorrhage the orders were age, mode of delivery,pregnancy complications and birth weight.Conclusion:Maternal age is a high risk of postpartum hemorrhage which are used in the symptomatic treatment of postpartum.Main factors of postpartum hemorrhage areage,mode of delivery,pregnancy com-plications,birth weight and so on.