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目的探讨引起阴道分娩产后出血的高危因素。方法选取2014年该院收治的产后出血产妇100例为产后出血组,未发生产后出血的产妇150例为对照组,回顾性分析其临床资料,对可能引起阴道分娩产后出血的危险因素进行单因素分析和Logistic回归分析。结果 Logistic回归分析结果显示,羊水过多、多胎妊娠、巨大儿、产程延长、妊娠期高血压疾病、产妇精神紧张、产次>1次、人流史为阴道分娩产后出血的相关危险因素(OR=2.57、2.20、4.40、4.02、7.56、2.71、3.04、2.50)。结论阴道分娩产后出血受多方面危险因素的影响。在临床工作中,应针对不同危险因素采取不同的措施以预防产后出血的发生,提高患者预后。
Objective To investigate the risk factors of postpartum hemorrhage caused by vaginal delivery. Methods One hundred and fifty cases of postpartum hemorrhage in our hospital in our hospital in 2014 were selected as the postpartum hemorrhage group. 150 maternal women without postpartum hemorrhage were selected as the control group. The clinical data were retrospectively analyzed. The risk factors of postpartum hemorrhage causing vaginal delivery were single factor Analysis and Logistic regression analysis. Results Logistic regression analysis showed that the related risk factors of postpartum hemorrhage with vaginal delivery were poly amniotic fluid, multiple pregnancy, macrosomia, prolonged labor, hypertensive disorders in pregnancy, maternal mental stress, 2.57, 2.20, 4.40, 4.02, 7.56, 2.71, 3.04, 2.50). Conclusion Postpartum hemorrhage due to vaginal delivery is affected by many risk factors. In clinical work, different measures should be taken for different risk factors to prevent postpartum hemorrhage and improve prognosis.