探討高齡產(chǎn)婦剖宮產(chǎn)術(shù)后出血的危險(xiǎn)因素

楊素芳

[摘要] 目的 統(tǒng)計(jì)分析高齡產(chǎn)婦剖宮產(chǎn)術(shù)后出血的危險(xiǎn)因素。 方法 以2010年1月—2014年6月在該院進(jìn)行手術(shù)的350例高齡產(chǎn)婦作為研究對(duì)象，按照出血量分為產(chǎn)后出血組和非出血組，對(duì)兩組研究對(duì)象的出血量進(jìn)行統(tǒng)計(jì)，分析兩組患者的年齡、懷孕時(shí)間、是否合并妊娠高血壓、糖尿病、是否有宮縮乏力、流產(chǎn)史、產(chǎn)后出血史、吸煙、飲酒、巨大兒、前置胎盤以及體重指數(shù)等方面的差異。 結(jié)果 該研究的高齡產(chǎn)婦剖宮產(chǎn)后發(fā)生出血者38例，發(fā)生率為10.90%，產(chǎn)后出血組中術(shù)中和術(shù)后出血量分別為（1513.45±156.34） mL和（1245.32±55.21） mL；產(chǎn)后非出血組為312例，術(shù)中和術(shù)后的出血量分別為（221.25±67.21） mL和（108.21±65.24） mL，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。妊娠高血壓、妊娠期糖尿病、流產(chǎn)病史、巨大兒、宮縮乏力和前置胎盤是高齡產(chǎn)婦發(fā)生產(chǎn)后出血的危險(xiǎn)因素。 結(jié)論 高齡孕婦剖宮產(chǎn)產(chǎn)后出血的發(fā)生率較高，在臨床中必須對(duì)相關(guān)危險(xiǎn)因素進(jìn)行嚴(yán)格的控制。

[關(guān)鍵詞] 高齡產(chǎn)婦；產(chǎn)后出血；危險(xiǎn)因素分析

[中圖分類號(hào)] R719.8 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2015）02（b）-0010-02

Investigation of the Risk Factors Related to Postpartum Hemorrhage in Elderly Parturient Women with Cesarean Section

YANG Sufang

Department of Obstetrics and Gynecology， Liaoning Anshan Taian County Enliang Hospital， Anshan， Liaoning Province， 114100 China

[Abstract] Objective To count and analyze the risk factors related to postpartum hemorrhage in elderly parturient women with cesarean section. Methods Three hundred and fifty elderly parturient women underwent surgery in our hospital from January 2010 to June 2014 were selected as the subjects and divided into the postpartum hemorrhage group and postpartum non-bleeding group in accordance with the amount of bleeding. The amount of bleeding of the two groups was counted. And the age， pregnancy time， gestational hypertension， diabetes， contractions fatigue， history of abortion， postpartum hemorrhage， smoking and drinking， macrosomia， placenta previa and body mass index were compared between the two groups. Results Of the elderly parturient women in this study， there were 38 cases with postpartum hemorrhage， the incidence of postpartum hemorrhage was 10.90%. The intraoperative and postoperative hemorrhage of the postpartum hemorrhage group was （1513.45±156.34）mL， （1245.32±55.21） mL， respectively， and that of the 312 cases in the postpartum non-bleeding group was （221.25±67.21）mL，（108.21±65.24）mL， respectively， the differences between the two groups were statistically significant（P<0.05）. Gestational hypertension， gestational diabetes， history of abortion， macrosomia， contractions fatigue and placenta previa were the risk factors causing postpartum hemorrhage in elderly parturient women. Conclusion As the incidence of postpartum hemorrhage in elderly parturient women is high， the risk factors related to postpartum hemorrhage should be controlled strictly in clinical practice.

[Key words] Elderly parturient women； Postpartum hemorrhage； Risk factors analysis