产后出血防治方法及原因分析

目的：分析产后出血的原因,探讨其防治方法。方法：选择有产后出血倾向的产妇64例随机分为治疗组和对照组,治疗组给予葡萄糖酸钙＋缩宫素＋米索前列醇治疗,对照组给予缩宫素治疗,观察两组产后24h出血量。结果：产妇24小时出血量治疗组为（212.8±59.3）ml,对照组为（358.2±46.3）ml,两组产妇出血量比较,差异有统计学意义（P〈0.05）。治疗组产后出血发生率为6.25%,对照组为25.0%,两组比较差异有统计学意义（P〈0.05）。结论：产后出血的主要原因是子宫收缩乏力、胎盘因素、凝血功能障碍、软产道裂伤。葡萄糖酸钙10ml＋缩宫素＋米索前列醇对产后出血倾向的防治有积极意义。

The analysis on the prevention and reason of the postpartum hemorrhage

Objective：To analyze postpartum hemorrhage reasons and discuss the prevention and treatment.Methods：64 cases were randomly divided into two groups,the treatment group were given calcium gluconate,oxytocin and misoprostol,the control group were only given oxytocin.observed postpartum 24-hour blood loss of two groups.Results：Two groups of comparisons difference was statistically significant.Conclusion：Postpartum hemorrhage is the main reason of the uterine contractions fatigue,placenta factors,coagulant function obstacle,macrosomic infant laceration.Calcium gluconate,oxytocin and misoprostol has meaningful prevention to postpartum hemorrhage.