28例产后出血影响因素探析.doc

28例产后出血影响因素探析 　【摘要】 目的 分析产后出血的原因、相关因素，探讨降低产后出血的发生率，提出合理的防治措施。方法 对产后出血28例资料进行分析，并进行统计学检验。结果 子宫收缩乏力仍为产后出血的首位原因，占64.3 %。发生产后出血的病例，在孕期存在不同程度的高危因素。有流产史、经产妇产后出血发生率高于无流产史者和初产妇，Plt;0.005;分娩方式中，阴道手术助产产后出血发生率高于剖宫产和阴道分娩者,Plt;0.005;多胎妊娠产后出血发生率高于单胎妊娠,Plt;0.005;新生儿体重≥4000g者产后出血的发生率高于新生儿体重lt;4000g者,Plt;0.005;无早接触、早吸吮者产后出血发生率高于有早接触、早吸吮者，Plt;0.005。结论 加强孕期健康教育及孕期管理，严格掌握剖宫产指征，提高医务人员助产技术，同时提倡早接触、早吸吮，对降低产后出血发生率起着重要作用。 【关键词】 产后出血；相关因素；干预措施 【Abstract】 Objective To analyze the reason of postpartum hemorrhage and understand the related factors to explore how to reduce the incidence of postpartum hemorrhage and propose reasonable prevention and control measures.Methods Analyzing 28 cases of postpartum hemorrhage and taking a statistical test. Results The most important cause was that the uterus was weak, accounting for 64.3%. As for all the cases, there were various risky factors during pregnancy. The number of those who had the history of abortion or those who had already born a child was higher than those without the history of abortion or those who bear the first child, Plt;0.005. The number of those with multiple pregnancy was higher than those with a single child,Plt;0.005. The number of those whose babies? birth weight was over 4000g was higher than those whose babies? birth weight was below 4000g， Plt;0.005. The number of those without early contact between the mother and the baby and early sucking was higher than those with early contact and early sucking, Plt;0.005. Conclusion There are many measures to reduce the incidence of postpartum hemorrhage, including strengthening the health education and management during pregnancy, strictly grasping Cs cesarean section standard, improving the ability of midwife and promoting early contact, as well as early sucking. These measures play a very important role in reducing the incidence. 【Key words】 postpartum hemorrhage; related factors; intervention measure 产后出血是产科常见的严重并发症，无论是世界卫生组织报告资料，还是全国孕产妇死亡监测结果，均显示产后出血是孕产妇死亡的首位原因［1］，因此，降低孕产妇出血的发生率，