中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
6期
938-939
,共2页
高龄孕妇%剖宫产产后出血%危险因素%胎盘前置%妊娠期高血压
高齡孕婦%剖宮產產後齣血%危險因素%胎盤前置%妊娠期高血壓
고령잉부%부궁산산후출혈%위험인소%태반전치%임신기고혈압
Advanced age pregnant women%Postpartum hemorrhage after cesarean section%Risk factors%Placenta praevia%Gestational hypertension
目的：分析影响高龄孕妇剖宫产发生产后出血的主要危险因素，探讨预防和减少剖宫产后出血的措施及方法。方法：选取2010年1月~2013年5月我院收治的剖宫产高龄孕妇120例，根据产后出血情况分为产后出血组和非产后出血组，对剖宫产产后出血的影响因素进行单因素分析及回归分析。结果：本研究高龄孕妇剖宫产产后出血者16例，发生率为13.3%，产后出血发生率、出血量明显高于非高龄剖宫产孕妇组，且两组间存在统计学差异(P<0.05)。产后出血组的妊娠糖尿病、妊娠高血压、流产次数(≥3次)、前置胎盘、巨大儿、宫颈乏力发生率均明显高于非产后出血组，且差异均有统计学意义(P<0.05)。家族出血史、抑郁病史等无统计学差异(P>0.05)。结论：高龄孕妇是剖宫产产后出血的高发人群，主要危险因素包括宫缩乏力、胎盘前置、妊娠期糖尿病、妊娠期高血压、妊娠期糖尿病等，避免高龄婚育，对高龄妇女需加强指标监测，预防妊娠期高血压和糖尿病等的发生，有助于减少剖宫产产后出血的发生。
目的：分析影響高齡孕婦剖宮產髮生產後齣血的主要危險因素，探討預防和減少剖宮產後齣血的措施及方法。方法：選取2010年1月~2013年5月我院收治的剖宮產高齡孕婦120例，根據產後齣血情況分為產後齣血組和非產後齣血組，對剖宮產產後齣血的影響因素進行單因素分析及迴歸分析。結果：本研究高齡孕婦剖宮產產後齣血者16例，髮生率為13.3%，產後齣血髮生率、齣血量明顯高于非高齡剖宮產孕婦組，且兩組間存在統計學差異(P<0.05)。產後齣血組的妊娠糖尿病、妊娠高血壓、流產次數(≥3次)、前置胎盤、巨大兒、宮頸乏力髮生率均明顯高于非產後齣血組，且差異均有統計學意義(P<0.05)。傢族齣血史、抑鬱病史等無統計學差異(P>0.05)。結論：高齡孕婦是剖宮產產後齣血的高髮人群，主要危險因素包括宮縮乏力、胎盤前置、妊娠期糖尿病、妊娠期高血壓、妊娠期糖尿病等，避免高齡婚育，對高齡婦女需加彊指標鑑測，預防妊娠期高血壓和糖尿病等的髮生，有助于減少剖宮產產後齣血的髮生。
목적：분석영향고령잉부부궁산발생산후출혈적주요위험인소，탐토예방화감소부궁산후출혈적조시급방법。방법：선취2010년1월~2013년5월아원수치적부궁산고령잉부120례，근거산후출혈정황분위산후출혈조화비산후출혈조，대부궁산산후출혈적영향인소진행단인소분석급회귀분석。결과：본연구고령잉부부궁산산후출혈자16례，발생솔위13.3%，산후출혈발생솔、출혈량명현고우비고령부궁산잉부조，차량조간존재통계학차이(P<0.05)。산후출혈조적임신당뇨병、임신고혈압、유산차수(≥3차)、전치태반、거대인、궁경핍력발생솔균명현고우비산후출혈조，차차이균유통계학의의(P<0.05)。가족출혈사、억욱병사등무통계학차이(P>0.05)。결론：고령잉부시부궁산산후출혈적고발인군，주요위험인소포괄궁축핍력、태반전치、임신기당뇨병、임신기고혈압、임신기당뇨병등，피면고령혼육，대고령부녀수가강지표감측，예방임신기고혈압화당뇨병등적발생，유조우감소부궁산산후출혈적발생。
To analyze the risk factors of postpartum hemorrhage among pregnant women in elder age after cesarean section and investigate the measures and the methods to prevent and reduce the postpartum hemorrhage after cesarean section.Methods:120 cases of advanced age pregnant women delivered in our department from January 2010 to May 2013 were analyzed retrospectively. They were divided into postpartum hemorrhage group and no postpartum hemorrhage group according to whether they had postpartum hemorrhage after cesarean section.Risk factors that affect postpartum hemorrhage were determined by single factor analysis and regression analysis.Results:There were 16 cases postpartum hemorrhage occurred after cesarean section,and the incidence rate was 13.3%.The incidence rate of postpartum hemorrhage and bleeding volume was obviously higher than that in the control group,the differences between two groups were statistically significant (P<0.05).The incidence rate of gestational diabetes mellitus,gestational hypertension,abortion times (more than 3 times),placenta praevia,macrosomia,uterine inertia in the postpartum hemorrhage group was higher than that in the no postpartum hemorrhage group,the differences were statistical significance (P<0.05).Family history of hemorrhage and depression showed no statistical difference (P>0.05).Avoiding marriage and birth in advanced age,monitoring the index of advanced age women and preventing the gestational diabetes mellitus and gestational hypertension will be very useful to reduce the postpartum hemorrhage after cesarean section.Conclusion:There was a higher incidence of postpartum hemorrhage in advanced age pregnant women.The gestational diabetes mellitus,gestational hypertension,abortion times (more than 3 times),placenta praevia,uterine inertia was the main factors.
