84例产后出血产妇危险因素及临床干预措施分析

摘要

目的 探讨导致产妇产后出血的危险因素及临床干预措施. 方法 采用回顾性调查对2014 年1—12 月收治2 125名产妇按照产后出血诊断标准排查出84例发生产后出血产妇. 使用logistic回归分析筛选导致产后出血的危险因素,总结干预措施. 结果 导致患者出现产后出血的高危因素依次是宫缩乏力(OR=788.12)、胎盘前置(OR=65.58)、胎盘残留(OR=44.20)、产道损伤(OR=27.55)、流产史(OR=22.18)、产次(ORR=18.34)、剖宫产(OR=15.60)以及凝血功能异常(OR=5.65). 结论 临床工作中要高度重视宫缩乏力,术前制定合理的分娩手术方案及抢救准备,降低产后出血的发生率.%Objective To discuss the risk factors and clinical intervention measures of 84 cases of puerpera with postpartum hemorrhage. Methods 84 cases of puerpera with postpartum hemorrhage selected from the 2125 puerpera treated in our hos-pital from January 2014 to December 2014 according to the diagnostic criteria of postpartum hemorrhage were retrospective-ly surveyed, the risk factors leading to postpartum hemorrhage were screened by logistic regression analysis and the inter-vention measures were summarized. Results High risk factors causing postpartum hemorrhage in patients was successively uterine atony (OR=788.12), the placenta praevia (OR=65.58), residual placenta OR=44.20, birth canal injury OR=27.55, abortion history OR=22.18, parity OR=18.34, cesarean section (OR=15.60) and abnormal coagulation function (OR=5.65). Conclusion We should attach great importance to uterine atony in clinic and make a reasonable delivery operation plan and rescue preparation to reduce the incidence of postpartum hemorrhage.