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400例产后出血患者的危险因素分析及其对应防治方法的临床研究 被引量:13

Analysis of risk factors and clinical study of prevention and control methods for 400 cases with postpartum hemorrhage
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摘要 目的探讨影响剖宫产术后出血的危险因素及研究其对应的防治方法。方法对400例产后出血患者的临床资料进行回顾性分析,记录患者出血原因、分娩方式、分娩史、妊娠并发症等基本资料,进行统计学分析。结果产后出血原因对比中,子宫收缩乏力占74.5%(χ2=249.4,P<0.05);分娩方式对比中,剖宫产占64.5%(χ2=11.1,P<0.05);分娩史对比中,初产占77.0%(χ2=37.7,P<0.05);妊娠并发症对比中,有妊娠并发症占80.0%(χ2=46.8,P<0.05),其余项差异无统计学意义(P>0.05)。结论子宫收缩乏力、剖宫产、初产、有妊娠并发症为影响产后出血的独立危险因素,因此可据情处理。 Objective To investigate risk factors and prevention or control methods for postpartum hemor- rhage after childbirth. Methods The clinical data of 400 cases with postpartum hemorrhage were retrospectively ana- lyzed, and recording causes of bleeding in patients, the mode of delivery, birth history, pregnancy complications, which basic information was statistically analyzed. Results For the reasons of postpartum hemorrhage bleeding,uterine ato- ny was 74.5%(X^2 =249.4,P〈0.05) ;mode of delivery contrast,cesarean section was 64.5%(X^2 = 11. 1,P〈0.05) ; birth history contrast, early production was 77. 0%(X^2=37. 7, P〈0. 05 ) ; comparison of pregnancy complication, pregnancy complications was 80.0% ( X^2 =46.8, P〈0.05 ), the rest items had no difference( P〉0.05 ). Conclusion Binary logistic regression analysis showed that uterine inertia,cesarean section, primiparity were pregnancy complica- tions independent risk factors of postpartum hemorrhage,which can be treated according to the situation.
出处 《检验医学与临床》 CAS 2012年第15期1891-1892,1894,共3页 Laboratory Medicine and Clinic
关键词 产后出血 危险因素 LOGISTIC回归分析 postpartum hemorrhage risk factors logistic regression analysis
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