[1]何国梅.探讨阴道分娩产后出血发生的高危因素与防范对策[J].中国计划生育和妇产科,2017,(7):75-78.
 HE Guo-mei.To explore the risk factors and preventive measures of vaginal delivery postpartum hemorrhage[J].Chinese Journal of Family Planning & Gynecotokology,2017,(7):75-78.
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探讨阴道分娩产后出血发生的高危因素与防范对策
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年7期
页码:
75-78
栏目:
论著与临床
出版日期:
2017-07-25

文章信息/Info

Title:
To explore the risk factors and preventive measures of vaginal delivery postpartum hemorrhage
作者:
何国梅
汉大学人民医院钟祥医院.钟祥市人民医院产科
Author(s):
HE Guo-mei
Department of Obstetric,Zhongxiang Hospital,Wuhan University.Zhongxiang People's Hospital, Zhongxiang Hubei 431900,P.R.China
关键词:
阴道分娩产后出血危险因素防范对策
Keywords:
vaginal delivery postpartum hemorrhage risk factors preventive measures
分类号:
R 714.46+1
摘要:
目的探讨阴道分娩产后出血发生的高危因素及防范对策。 方法回顾性分析2015年8月至2016年3月钟祥市人民医院接诊的200例阴道分娩产妇的病历资料,其中发生产后出血的80例为观察组,未发生产后出血的120例为对照组,比较两组患者产后24 h的出血量,并对引起产后出血的危险因素进行单因素分析、多因素Logistic回归分析。结果观察组产后24 h出血量明显多于对照组(P<005);羊水过多、多胎妊娠、巨大儿、产程延长、妊娠期高血压疾病、产妇精神紧张、产次>1次、人工流产史均是导致阴道分娩产后出血的危险因素(OR=254、221、440、401、755、270、305、252,P<005)。结论阴道分娩产后出血受到多种危险因素的影响,在临床上应针对各危险因素提出合理的防范对策,以降低产后出血发生。
Abstract:
ObjectiveTo investigate the risk factors and preventive measures of postpartum hemorrhage after vaginal delivery. MethodsRetrospective analysis of 200 cases of vaginal delivery from August 2015 to March 2016 in Zhongxiang People's Hospital,among which 80

参考文献/References:

[1]张秀凤.孕产妇产后出血的临床原因分析 [J].转化医学电子杂志,2015,2 (9):106-107. [2]DUCLOY-BOUTHORS A S, DUHAMEL A, KIPNIS E, et al. Postpartum haemorrhage related early increase in D-dimers is inhibited by tranexamic acid: haemostasis parameters of a randomized controlled open labelled trial [J]. British Journal of Anaesthesia, 2016, 116 (5): 641-648. [3]尚恒杰.预见性护理降低阴道分娩产后出血的临床效果观察 [J].深圳中西医结合杂志,2014,24 (8):151-153. [4]杜云,王茜,孙红格.预防护理干预对减少阴道分娩产妇产后出血的效果观察 [J].海南医学,2013,24 (13):2019-2021. [5]段涛,丰有吉,狄文主,等.威廉姆斯产科学 [M].济南:山东科学技术出版社,2006:579. [6]GARABEDIAN C, SIMON M, CLOSSET E, et al. Systematic prophylactic oxytocin injection and the incidence of postpartum hemorrhage: A before-and-after study [J]. Journal de Gynecologie, Obstetrique et Biologie de La Reproduction, 2016, 45(2): 147-154. [7]周萍.阴道分娩初产妇宫缩乏力性产后出血影响因素及预防策略 [J].河北医学,2013,19(10):1475-1478. [8]胡艾丽.预见性护理对降低阴道分娩产后出血的效果分析 [J].中国医药指南,2015,13(11):238-239. [9]FROLOVA A I, STOUT M J, TUULI M G, et al. Duration of the third stage of labor and risk of postpartum hemorrhage [J]. Obstetrics and Gynecology, 2016, 127(5): 951-956. [10]卢利霞.阴道分娩产后出血危险因素分析及处理对策 [J].基层医学论坛,2016,20 (9):1181-1182. [11]CHALOUHI S E, TARUTIS J, BARROS G, et al. Risk of postpartum hemorrhage among native American women[J]. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, 2015, 131(3): 269-272. [12]周立娟.预见性护理对降低阴道分娩产后出血的护理效果 [J].吉林医学,2014,35(9):1990-1991. [13]孙丽洲,杨娜娜,刘丽萍.阴道分娩及剖宫产产后出血预警及防范 [J].中国实用妇科与产科杂志,2014,30 (4):259-262. [14]邓丽,韦业平,卲世清,等.阴道分娩产后出血危险因素分析及处理对策 [J].广西医学,2014,36(9):1297-1298. [15]刘芳,谭艳萍.妇产科阴道分娩产后出血相关因素分析及应对措施探讨 [J].大家健康(学术版),2013,7(3):96.

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更新日期/Last Update: 1900-01-01