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33例产后出血影响因素探讨

Discussion The Influence Factors of 33 Patients with Postpartum Hemorrhage
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摘要 目的分析产后出血的相关原因,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33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5.43%。发生产后出血的病例,在孕期存在不同程度的高危因素。产后出血发生率汉族高于彝族、藏族,有流产史、剖宫产高于无流产史、顺产。高龄产妇高于低龄产妇,无孕产妇系统管理高于孕产妇系统管理,差异均有统计学意义(P<0.05)。结论加强孕产妇系统管理,早期认识高危妊娠,产时、产后严密观察,降低剖宫产率,正确、及时处理产后出血,对降低产后出血发生率起着重要作用。 Objective To analyze the reason of postpartum hemorrhage,probe how to reduce the incidence of postpartum hemorrhage and put forward some reasonable prophylaxis and treatment measures.Methods Through the analysis of 33cases of postpartum hemorrhage and taking a statistical test.Results The most important reason is the uterus is weak to systole,accounting for 5.43%.As for all the cases,there are several of risky factors during pregnancy.The postpartum hemorrhage rate of Han nationality is higher than Yi and Tibetan.The people who have the history of abortion or caesarean birth is higher than the people who are without the history of abortion or bear the first child,P0.05.Conclusion There are many measures to reduce the incidence of postpartum hemorrhage,including strengthening the health education and management during pregnancy and puerperal,know about the high risks of gestation early,strictly grasping Cs cesarean section standard,improving the ability of midwife and promoting early contact,as well as early sucking.These measures play very important roles in reducing the rate of postpartum hemorrhage.
作者 吴桂芝
出处 《中国医药指南》 2011年第9期23-24,共2页 Guide of China Medicine
关键词 产后出血 相关因素 干预措施 Postpartum hemorrhage Related factors Intervention measure
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