摘要
目的探讨二胎孕产妇产后出血的原因和高危因素。方法回顾性分析2015年6月~2017年6月于肇庆市第二人民医院产科分娩的694例二胎产妇的临床资料,通过单因素和多因素Logistic回归分析二胎孕产妇产后出血的相关因素。结果二胎孕产妇产后出血发生率为11.67%。单因素分析结果显示,年龄>35岁、孕龄异常(<37周或>42周)、有剖宫产史、宫缩乏力、前置胎盘、胎盘粘连、胎盘早剥、软产道损伤以及剖宫产分娩均会显著增加产后出血的发生率,差异有统计学意义(P<0.05)。多元Logistic回归分析结果显示,宫缩乏力、前置胎盘、胎盘粘连、胎盘早剥、剖宫产分娩、年龄>35岁、孕龄异常(<37周或>42周)、软产道损伤以及有剖宫产史均是二胎孕产妇产后出血的危险因素(P<0.05)。结论二胎孕产妇存在多种导致产后出血的高危因素,需针对性的采取措施降低产后出血的发生。
Objective To explore the reason and high-risk factors for postpartum hemorrhage in second puerpera.Methods The clinical data of 694 second puerpera in Zhaoqing NO.2 People′s Hospital from June 2015 to June 2017 were retrospectively analyzed. Univariate analysis and multiple Logistic regression analysis were applied to identify the related factors for postpartum hemorrhage in second puerpera. Results The incidence rate of postpartum hemorrhage in second puerpera was 11.67%. Univariate analysis showed that the incidence rate of postpartum hemorrhage was significantly increased in second puerpera with one or more of the following factors： age（〉35 years）, abnormal gestational week（〈37 weeks or 〉42 weeks）, cesarean section history, uterine atony, placenta previa, placental adhesion, placental abruption, soft birth canal injury and cesarean section（P〈0.05）. Multiple Logistic regression analysis showed that uterine atony, placenta previa, placental adhesion, placental abruption, cesarean section, age（〉35 years）, abnormal gestational week（〈37 weeks or 〉42 weeks）, soft birth canal injury and cesarean section history were the high-risk factors for postpartum hemorrhage in second puerpera（P〈0.05）. Conclusion There are various high-risk factors influencing postpartum hemorrhage in second puerpera, hence, targeted countermeasures should be taken to reduce the occurrence of postpartum hemorrhage.
作者
沈婕
SHEN Jie(Department of Obstetrics and Gynecology,West Central Hospital Hai＇ nan Province,Hai＇ nan Province,Danzhou 571700,China)
出处
《中国医药导报》
CAS
2018年第23期76-79,共4页
China Medical Herald
基金
广东省肇庆市科技创新指导类项目(201704030901)
关键词
二胎孕产妇
产后出血
高危因素
Second puerpera
Postpartum hemorrhage
High-risk factors
