产后大出血相关危险因素探讨

目的探讨产后大出血的相关危险因素并总结防治经验。方法选取从2009年1 1月至2012年6月在我院生产并且发生产后大出血的92例患者为本次研究的对象,统计分析患者发生大出血的原因,对比患者的年龄、流产次数。结果子宫收缩乏力、妊娠期高血压、凝血功能障碍是大出血的主要原因,产妇中年龄大于35岁的产后出血率明显高于在35岁以下的,P〈0.05,差异有统计学意义;流产次数较多的产妇产后出血率明显高于流产次数少或者无流产病史的产妇,P〈0.05,差异有统计学意义;产妇在发生出血情况后的情绪变化和紧张评分完全高于未出血的产妇,P〈0.05,差异有统计学意义。结论有很多危险因素能够导致产后大出血,了解病因是防治产后大出血的重要环节。

Discussion of risky factors related to postpartum hemorrhage

Objective To discuss the risky factors related to postpartum hemorrhage and to summarize the experience of prevention and treatment.Methods Choose 92 cases of patients from January 2009 to June 2012 who gave birth to an infant and suffered the postpartum hemorrhage as the object of study,count and analyze the cause of the occurrence of the hemorrhage,compare the age and the frequency of abortion of those patients. Results The main causes of postpartum hemorrhage are uterine atony,gestational hypertension and coagulation disorders.The rate of postpartum hemorrhage of puerperas who are older than 35 years old is much higher than that of those who are under 35 years old.The rate of postpartum hemorrhage or puerperas who had frequent abortions is much higher than that of those who had less abortions or no abortion.The emotional changes and the rating of tension of those puerperas who have postpartum hemorrhage are much higher than that of those who haven＇t,P0.05,the diffenrence has statistical significance.Conclusion There a lot of risky factors that can cause postpartum hemorrhage.To find out the etiology is an important part of the prevention and the cure of postpartum hemorrhage.