论文部分内容阅读
目的:探讨产后出血产妇产后2 h不同出血量的危险因素。方法:选择定期产前检查并住院分娩的212例产后出血产妇作为研究对象,根据产后2 h不同出血量分为3组:出血量400～500 ml 61例为预警组,出血量500～1 500 ml 127例为处理组,出血量为>1 500 ml 24例为危重组,分析不同出血量与相关临床资料的相关性。结果:产后出血的发生率为3.07%,其中71.23%发生在产后2 h。新生儿体质量与预警组出血量呈正相关(P<0.05),产次与处理组出血量呈正相关(P<0.05),入院时红细胞压积(hematokrit,HCT)及血小板计数(platelet count,PLT)与处理组出血量呈负相关(P<0.05),入院时宫高与危重组出血量呈正相关(P<0.05)。预警组中合并妊娠期糖尿病或子宫肌瘤的产妇出血量明显高于无此合并症的产妇(P<0.05),处理组中孕早期体质量指数(body mass index,BMI)≥28.0 kg/m2的产妇出血量明显高于BMI<28.0 kg/m2的产妇(P<0.05),处理组中合并前置胎盘的产妇出血量明显高于无此合并症的产妇(P<0.05),危重组中剖宫产分娩的产妇出血量明显高于阴道分娩的产妇(P<0.01)。结论:应对具备上述产后出血高危因素的产妇加强孕前及孕期保健,严密观察产程情况,根据不同产后出血量迅速启动相应急救方案。
Objective: To investigate the risk factors of different blood loss in postpartum hemorrhage 2 h postpartum. Methods: A total of 212 postpartum hemorrhagic mothers who were scheduled for prenatal care and hospitalized for delivery were divided into 3 groups according to the amount of hemorrhage 2 h postpartum: the amount of hemorrhage was 400-500 ml, the early warning group was 61 cases and the bleeding volume was 500-1 500 ml 127 cases were treated group, the amount of bleeding was> 1 500 ml 24 cases were critically ill group, analysis of the correlation between different bleeding and related clinical data. Results: The incidence of postpartum hemorrhage was 3.07%, of which 71.23% occurred after 2 hours. There was a positive correlation between the body mass of newborn and the amount of hemorrhage in the early warning group (P <0.05). The number of hemorrhage was positively correlated with the treatment group (P <0.05). Hematokrit (HCT) and platelet count ) Was negatively correlated with the amount of bleeding in the treatment group (P <0.05). There was a positive correlation between the height of the uterus and the amount of bleeding in the critically ill group at admission (P <0.05). The number of maternal bleeding in the early warning group with gestational diabetes mellitus or uterine fibroids was significantly higher than that without such complications (P <0.05). Body mass index (BMI) ≥28.0 kg / m2 Of maternal bleeding was significantly higher than that of women with BMI <28.0 kg / m2 (P <0.05). The amount of maternal bleeding associated with placenta previa in the treatment group was significantly higher than that of women without this complication (P <0.05) Maternal bleeding in cesarean delivery was significantly higher than that in vaginal delivery (P <0.01). Conclusion: The maternal with the risk factors of postpartum hemorrhage should strengthen the prenatal care and prenatal care, and closely observe the labor process, according to the different postpartum hemorrhage quickly start the corresponding emergency plan.