摘要
为了分析导致产后出血的主要危险因素,并提出有效的防控策略来降低产后出血发生率。本研究以104例发生产后出血的孕产妇和649例未发生产后出血的孕产妇为研究对象,利用单因素分析和二元Logistic回归分析方法考察孕周、年龄、产次和分娩方式等因素,并对新生儿质量、贫血、妊娠高血压、脐带异常情况、宫缩乏力、是否应用镇痛药物、肝肾功能等情况进行分析。研究显示,两组孕产妇在年龄、孕周、产次、分娩方式、产检次数、新生儿质量以及是否应用分娩镇痛药物等方面的比较无明显差异（p〉0.05）;观察组孕产妇妊娠期高血压、中重度贫血、宫缩乏力、脐带异常以及临产前肝肾功能异常产妇所占比例明显高于对照组（p〈0.05）。Logistic二元回归分析显示,孕产妇发生产后出血的主要危险因素包括妊娠期高血压、中重度贫血、宫缩乏力、脐带异常、临产前肝肾功能异常。本研究认为,加强孕期产检、针对危险因素做好产妇围产期保健工作、积极治疗中重度贫血和妊高症、对仍有出血倾向的产妇积极做好抢救准备等措施可有效保证孕产妇的生命安全。
In order to analyze the main risk factors of postpartum hemorrhage and put forward the effective prevention and control measures to reduce the incidence of postpartum hemorrhage,104 cases of maternal with postpartum hemorrhage and 649 cases without postpartum hemorrhage were selected as the objects in this study.The gestational age,maternal age,parity,mode of delivery and other factors were detected,and the neonatal quality,anemia,pregnancy induced hypertension,umbilical cord abnormalities,uterine atony,whether the application of analgesic drugs,liver and kidney function were also analyzed by one-way ANOVA and binary logistic regression analysis methods.The results showed that there were no significant difference between the two groups in the maternal age,gestational age,parity,mode of delivery,frequency of obstetrical examination,quality of newborn or application of neonatal analgesia drug（p〉0.05）;the rate of hypertension,severe anemia,uterine atony,umbilical cord abnormalities and abnormal maternal liver and kidney dysfunction before delivering in observation group was significantly higher than that in the control group（p〈0.05）.Binary logistic regression analysis suggested that the main risk factors of maternal postpartum hemorrhage included pregnancy high blood pressure,severe anemia,uterine atony,abnormal umbilical cord and kidney dysfunction before delivering.In this study,we believed that take some actions such as strengthening the prenatal examination,doing maternal perinatal health care well for risk factors,actively treating for moderate and severe anemia and pregnancy hypertension,actively preparing rescue for maternal who still have a tendency of ostpartum hemorrhage could effectively ensure the safety of maternal life.
作者
薛志琴
Xue Zhiqing(Liyang Traditional Chinese Medicine Hospital, Liyang, 21330)
出处
《基因组学与应用生物学》
CAS
CSCD
北大核心
2018年第2期513-518,共6页
Genomics and Applied Biology
基金
溧阳市中医医院对本研究提供临床资料和仪器设备支持
关键词
产后出血
危险因素
LOGISTIC分析
防控策略
Postpartum hemorrhage, Risk factors, Logistic analysis, Prevention and control strategy
