摘要
目的探讨产后出血原因、相关因素和防治措施，降低孕产妇死亡率。方法对2002年1月-2012年12月在灌南县人民医院住院分娩的302例产后出血病例资料进行回顾性研究并进行统计学分析。结果产后出血发生率1．55％，发生原因依次为宫缩乏力（84．11％），胎盘因素（13．91％），软产道损伤（1．65％），凝血功能障碍（0．3％）。剖宫产产后出血发生率高于阴道分娩，差异有统计学意义（P〈0．05）。结论产后出血是产科最常见最危急的并发症之一，发生率较高，与多种因素有关，尤其以宫缩乏力为主，推广计划生育，加强孕期宣教及孕期管理，严格掌握剖宫产指征，提高助产技术，采取有效防治措施，科学护理，可降低产后出血发生，降低孕产妇死亡率。
Objective To investigate the causes, related factors and treatment of postpartum hemorrhage（PPH） in order to prevent PPH and decrease the mortality rate of pregnant and parturient women. Methods A retrospective and Statistical analysis was performed in 302 patients with PPH from Jan2002 to Dec 2012 in our hospital. Results The incidence rate of PPH during 10 years was 1.55%. The causes were uterine inertia（84.11%）, abnormal placenta（13.91%）, injury of birth canal（1.65%）, and dysfunction of blood coagulation（0.3%）. The rate of PPH in cesarean section was higher than that in vaginal delivery and there was significant difference between them（P 〈 0.05）. Conclusion The retrospective analysis on the cases has found that PPH is one of the most common and critical obstetric complications. The high rate of the incident is due to many factors, and the major cause of PPH is uterine inertia.So we should promote the family planning policy, strengthen the education and management during pregnancy and control the indications for cesarean section strictly. What＇s more, we should also improve the skills of midwifery and take effective measures to prevent PPH and conduct scientific nursing. Only in this way can we reduce mortality rate of pregnant and parturient women.
出处
《中国医药科学》
2013年第19期196-198,共3页
China Medicine And Pharmacy
关键词
产后出血
相关因素
防治措施
Postpartum hemorrhage
Related factors
Preventing and controlling measures
