产后大出血相关危险因素探讨

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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。 Objective To explore the related risk factors of postpartum hemorrhage and to sum up the prevention and treatment experience. Methods Ninety-two patients with postpartum hemorrhage, which were produced in our hospital from January 2009 to June 2012, were selected as the object of this study. The causes of massive hemorrhage were statistically analyzed, and the age of patients and the number of abortions were compared. Results Uterine atony, pregnancy-induced hypertension and coagulation dysfunction were the major causes of hemorrhage. The rate of postpartum hemorrhage in women older than 35 years old was significantly higher than that under 35 years old (P <0.05), and the number of miscarriage More maternal postpartum hemorrhage was significantly higher than the number of abortions or no history of abortion, P <0.05, the difference was statistically significant; maternal emotional changes in the occurrence of bleeding and stress scores were higher than non-bleeding maternal, P <0.05, the difference was statistically significant. Conclusion There are many risk factors can lead to postpartum hemorrhage, to understand the etiology is an important part of prevention and treatment of postpartum hemorrhage.
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