高危妊娠患者术后并发低氧血症发生因素的研究与探讨

摘要

目的：本文主要是为了探讨和分析高危妊娠患者术后并发低氧血症的发生因素。方法选择2014年1月～2014年7月我院产科接收的50例产妇的临床资料作为研究对象，所有的产妇都为高危妊娠，接受了相应的剖宫产手术，对孕妇的临床治疗以及PaO2值进行比较、观察和记录。结果50例产妇中出现低氧血症的共有10例，占总人数的20%，其中包括轻度低氧血症7例、中度低氧血症2例以及重度低氧血症1例。手术之后无低氧血症的产妇前后PaO2对比差异较为明显。单因素结果显示患者的体重、年龄、剖宫产手术之间、吸烟与产次与高危妊产妇的术后并发低氧血症存在显著的关系。通过Logistic回归分析产妇的体重、年龄、吸烟是高危妊娠产妇术后出现低氧血症较为独立的一种危险因素。所有产妇在接受机械通气治疗之后，都产生了一定的效果，显效率和有效率分别为92%和100%。结论高危妊娠产妇很容易出现术后低氧血症的现象，其发生率与年龄、是否吸烟以及体重有关，作为其独立危险因素需要对相关因素进行重视，还要引导患者积极接受机械通气治疗。%Objective The purpose of this paper is to investigate and analyze the high risk pregnancy patients complicated with postoperative hypoxemia factors. Methods Select 2014 January to 2015 January in our hospital 50 cases of maternal obstetric accept pregnancy clinical data as the research object, all women are high risk pregnancy, accept the corresponding cesarean operation, the clinical treatment for pregnant women and PaO2 values were compared, to observe and record. Results 50 cases of maternal hypoxemia occurred in a total of 10 cases, the total number of 20%, including 7 cases of mild hypoxemia, 2 cases of moderate hypoxemia and 1 cases of severe hypoxemia. After the operation without hypoxemia after cesarean section before and after PaO2 contrast more obvious differences. Univariate results showed the patient's body weight, age, cesarean section, operation between smoking and parity and high-risk maternity postoperative hypoxemia existed significant relationship. Through the Logistic regression analysis of maternal body weight, age, cigarette smoking is a high-risk pregnancy maternal postoperative hypoxemia is independent of a learning factors. All women after receiving mechanical ventilation therapy, produced certain effect, significant effective rate and effective rate were 92% and 100%. Conclusion The high risk pregnant women is easy to appear the phenomenon of postoperative hypoxemia, its incidence with age, smoking and weight related, as the independent risk factors of attention to the factors related to need, but also to guide the patients receiving mechanical ventilation therapy actively.