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目的分析对高危产妇产后出血危险因素进行干预对预防产后出血的临床效果。方法选择3 519例产妇作为研究对象,其中高危产妇98例,作为观察组;选取同期的正常产妇100例作为对照组,对比两组相关资料,分析产后出血的危险因素,观察干预后的临床效果。结果观察组的流产史、凝血功能异常、子宫状况异常、双胎或巨大儿、妊娠并发症、剖宫产、子宫收缩乏力、产道受损以及胎盘异常的发生率均明显高于对照组,差异有统计学意义(P<0.05)。上述因素均为导致产后出血的危险因素。观察组98例患者中,73例给予常规处理即可有效地控制产后出血,另外25例患者给予常规处理、对症治疗和干预后,病情稳定,出血量明显减少,且未出现不良预后。结论对高危产妇产后出血的危险因素(流产史、凝血功能异常、子宫状况异常、双胎或巨大儿、妊娠并发症、剖宫产、子宫收缩乏力、产道受损以及胎盘异常)进行干预,能够较好地预防产后出血,进而改善患者的预后。
Objective To analyze the clinical effect of intervention on the risk factors of postpartum hemorrhage in high-risk maternal women. Methods Select 3 519 maternal as the research object, including 98 high-risk maternal women as the observation group; select the normal maternal 100 cases as the control group, comparing the two groups of relevant data, analyze the risk factors of postpartum hemorrhage, observe the clinical effect after intervention . Results The abortion history, coagulation dysfunction, uterine abnormality, twins or huge children, pregnancy complications, cesarean section, uterine atony, birth canal damage and placental abnormalities in observation group were significantly higher than those in control group There was statistical significance (P <0.05). The above factors are the risk factors of postpartum hemorrhage. In the observation group of 98 patients, 73 cases given conventional treatment can effectively control postpartum hemorrhage, and the other 25 patients given conventional treatment, symptomatic treatment and intervention, stable condition, the amount of bleeding was significantly reduced, and no adverse prognosis. Conclusions The intervention of risk factors for postpartum hemorrhage (abortion history, coagulation disorders, abnormal uterine conditions, twins or macrosomia, pregnancy complications, cesarean section, uterine atony, impaired labor and placenta accreta) Better prevention of postpartum hemorrhage, thereby improving the patient’s prognosis.