CAJ | 학술논문

目的研究选择性剖宫产术后出血量的相关因素,为预防产后出血提供理论依据.方法选择剖宫产产妇300例纳入研究.采用容积法和称重法测量产后出血量.采用单因素及多元回归方法分析产后出血量的影响因素.结果单因素及多元回归结果显示,子宫发育不良、子宫收缩乏力、宫颈评分、前置胎盘、胎盘粘连或植入和新生儿体质量与剖宫产术后出血量有关(检验值=9.263、9.845、3.447、7.234、5.765、3.627,均P＜0.01),而年龄、体质量、孕周、孕次、产次、流产史、胎膜早破与剖宫产术后出血量无关(均P＞0.05).结论子宫发育不良、子宫收缩乏力、宫颈评分、前置胎盘、胎盘粘连或植入和新生儿体质量是影响剖宫产术后出血量的因素,应加强术前预测,以减少剖宫产术后出血的发生率.
목적 연구선택성부궁산술후출혈량적상관인소,위예방산후출혈제공이론의거.방법 선택부궁산산부300례납입연구.채용용적법화칭중법측양산후출혈량.채용단인소급다원회귀방법분석산후출혈량적영향인소.결과 단인소급다원회귀결과현시,자궁발육불량、자궁수축핍력、궁경평분、전치태반、태반점련혹식입화신생인체질량여부궁산술후출혈량유관(검험치=9.263、9.845、3.447、7.234、5.765、3.627,균P＜0.01),이년령、체질량、잉주、잉차、산차、유산사、태막조파여부궁산술후출혈량무관(균P＞0.05).결론 자궁발육불량、자궁수축핍력、궁경평분、전치태반、태반점련혹식입화신생인체질량시영향부궁산술후출혈량적인소,응가강술전예측,이감소부궁산술후출혈적발생솔.
Objective To explore the influencing factor of amount of bleeding after selective cesarean delivery,and to provide theoretical basis to prevent postpartum hemorrhage in clinic.Methods A total of 300 delivery women,who received selective cesarean delivery because of social factors,was included this research.The amount of bleeding after selective cesarean delivery was determined by volumetric method and weight method.The related factor of amount of bleeding after selective cesarean delivery was analyzed by single-factor and multiple regression method.Results The result of single-factor and multiple regression method showed that the amount of bleeding after selective cesarean delivery was related to uterine dysplasia,uterine contraction fatigue,cervical score,placenta previa,placental adhesion/implant and neonatal weight(Test value =9.263,9.845,3.447,7.234,5.765,3.627,all P ＜ 0.01),but not related to age,body weight,gestational duration,gravidity times,production time,abortion history,premature rupture of membrane (all P ＞ 0.05).Conclusion Conclusion Uterine dysplasia,uterine contraction fatigue,cervical score,placenta previa,placental adhesion/implant and neonatal weight were the related factors of amount of bleeding after selective cesarean delivery,and should be predicted intensely to reduce the incidence of postpartum hemorrhage.