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目的探讨产妇产后大出血的影响因素及实施高质抢救与护理的应用效果。方法选取吉安市第一人民医院2014年2月—2016年2月收治的产后大出血产妇70例为研究组,选取同期未发生大出血产妇70例为对照组。观察研究组产妇产后临床资料,分析产妇出血的相关影响因素,观察研究组产妇止血率、产妇及其家属对抢救和护理的满意度。结果研究组产妇胎盘前置及胎盘粘连残留、子宫收缩乏力、软产道严重损失及宫颈裂伤、妊娠期高血压、产妇凝血功能障碍、妊娠合并急性肝炎发生率高于对照组,差异有统计学意义(P<0.05)。研究组产妇经高质抢救及护理后均有效止血,有效止血率为100.0%(70/70),产妇恢复良好,满意度调查发现,产妇及其家属均十分满意,满意率为95.7%(67/70)。结论子宫收缩乏力、胎盘前置,胎盘粘连残留、软产道严重损失及宫颈裂伤、产妇凝血功能障碍、妊娠期高血压、妊娠合并急性肝炎为产后大出血的影响因素,对相关影响因素采取有效预防,可降低产妇产后大出血发生率,保证母婴安全。给予产后大出血产妇高质抢救及护理可有效止血,保证产妇及胎儿安全。
Objective To investigate the influencing factors of postpartum hemorrhage and the application effect of high quality rescue and nursing. Methods Seventy patients with postpartum hemorrhage admitted to the First People’s Hospital of Ji’an City from February 2014 to February 2016 were selected as the research group. 70 maternal women without major bleeding during the same period were selected as the control group. Observe the study group maternal postpartum clinical data, analysis of maternal bleeding related factors, observed the study group maternal hemostasis rate, maternal and their families for the salvage and care satisfaction. Results The study group maternal placenta previa and placental adhesion residues, uterine atony, severe loss of soft birth canal and cervical laceration, gestational hypertension, maternal coagulation dysfunction, the incidence of acute hepatitis in pregnancy than in the control group, the difference was statistically significant Significance (P <0.05). The study group maternal high-quality rescue and nursing are effective after hemostasis, the effective hemostasis rate was 100.0% (70/70), maternal recovery was good, satisfaction survey found that mothers and their families were satisfied with a satisfaction rate of 95.7% (67 / 70). CONCLUSIONS: Uterine atony, placenta previa, placental adhesion, severe loss of soft birth canal and cervical laceration, maternal coagulation dysfunction, pregnancy-induced hypertension and pregnancy complicated with acute hepatitis are the influencing factors of postpartum hemorrhage, and the effective prevention of the related factors , Can reduce the incidence of maternal postpartum hemorrhage, to ensure the safety of mother and child. Give postpartum hemorrhage maternal high-quality rescue and care can effectively stop bleeding, to ensure that maternal and fetal safety.