产后出血127例观察及护理体会

摘要

Objective To discuss risk factors and nursing of postpartum hemorrhage. Methods 127 patients of postpartum hemorrhage were chosen to analysis relevant risk factors and nursing of postpartum hemorrhage through postpartum observation. Results In all relevant risk factors,83.5 percent was uterine atony,7.9 percent were birth canal injury and hematoma,3.1 percent was placenta factor and 3.9 percent was coagulation disorders.All patients were cured and no serious complications happened.Uterine atony was the most important risk factor,and there was a statistically significant difference compared with other factors(P<0.05). Conclusion The best way to solve the problem of postpartum hemorrhage is early detection,early prevention,early treatment,and improve the quality of pregnancy’s life.%目的 探讨妊娠妇女产后出血危险因素及护理措施.方法 选取2010年1月～2011年12月在我院妇科住院的出现产后出血患者127例,通过产后观察,分析患者产后出血相关危险因素及整个产程前后的护理措施.结果 127例患者出血的相关因素,子宫收缩乏力占83.5%,软产道损伤、血肿占7.9%,胎盘因素占3.1%,凝血功能障碍占3.9%,对产后患者进行密切观察及精心护理,入院的127例患者全部治愈出院,无严重并发症发生.其中子宫收缩乏力是最主要危险因素,经统计学分析差异有统计学意义(P＜0.05).结论 对于产后出血的危险因素要做到早发现、早预防、早处理,并且改善孕妇的生活质量.