84例产后出血产妇危险因素及临床干预措施分析.docx

84例产后出血产妇危险因素及临床干预措施分析[摘要]目的探讨导致产妇产后出血的危险因素及临床干预措施。方法采用回顾性调查对2014年1―12月收治2125名产妇按照产后出血诊断标准排查出84例发生产后出血产妇。使用logistic回归分析筛选导致产后出血的危险因素总结干预措施。结果导致患者出现产后出血的高危因素依次是宫缩乏力（OR=788.12）、胎盘前置（OR=65.58）、胎盘残留（OR=44.20）、产道损伤（OR=27.55）、流产史（OR=22.18）、产次（ORR=18.34）、剖宫产（OR=15.60）以及凝血功能异常（OR=5.65）。结论临床工作中要高度重视宫缩乏力术前制定合理的分娩手术方案及抢救准备降低产后出血的发生率。[关键词]产后出血；危险因素；干预；分娩[中图分类号]R71[文献标识码]A[文章编号]1674-0742（2016）01（a）-0056-02AnalysisofRiskFactorsandClinicalInterventionMeasuresof84casesofPuerperawithPostpartumHemorrhageWANGYingSUNHong-liLIHongDepartmentofObstetricsandGynecologyLuoheHospitalofTraditionalChineseMedicineLuoheHenanProvince462000China[Abstract]ObjectiveTodiscusstheriskfactorsandclinicalinterventionmeasuresof84casesofpuerperawithpostpartumhemorrhage.Methods84casesofpuerperawithpostpartumhemorrhageselectedfromthe2125puerperatreatedinourhospitalfromJanuary2014toDecember2014accordingtothediagnosticcriteriaofpostpartumhemorrhagewereretrospectivelysurveyedtheriskfactorsleadingtopostpartumhemorrhagewerescreenedbylogisticregressionanalysisandtheinterventionmeasuresweresummarized.ResultsHighriskfactorscausingpostpartumhemorrhageinpatientswassuccessivelyuterineatony（OR=788.12）theplacentapraevia（OR=65.58）residualplacentaOR=44.20birthcanalinjuryOR=27.55abortionhistoryOR=22.18parityOR=18.34cesareansection（OR=15.60）andabnormalcoagulationfunction（OR=5.65）.ConclusionWeshouldattachgreatimportancetouterineatonyinclinicandmakeareasonabledeliveryoperationplanandrescuepreparationtoreducetheincidenceofpostpartumhemorrhage.[Keywords]Postpartumhemorrhage；Riskfactors；Intervention；Delivery我国产后出血的发病率约为2%～5%[1]作为导致产妇死亡的首要原因及早预防并迅速处置该病是保障孕产妇生命安全的重要手段[2]。为识别和掌握当地导致孕产妇产后出血的危险因素该研究回顾性分析了2014年1―12月收治的84例产后出血产妇潜在危险因素及临床干预措施以期指导临床诊疗现报道如下。1资料与方法1.1一般资料整群选择该院住院分娩的2