CAJ | 학술논문

目的：探究患者产后出血的基本原因，并对不同分娩方式下产后出血的差异情况进行对比。方法对在我院妇科分娩的患者进行分娩方式统计，并对其中因为剖宫产和阴道分娩而产后出血的情况进行对比，比较两者出血频率、出血原因以及出血量等。结果剖宫产产后出血量明显高于阴道分娩(P<0.05)；两种分娩方式出血时间无显著性差异(P>0.05)；阴道分娩产后出血主要原因为宫缩乏力，剖宫产主要原因为手术与体位因素。结论分析剖宫产与阴道分娩产后出血情况与原因的差异，有利于控制产后出血。
목적：탐구환자산후출혈적기본원인，병대불동분면방식하산후출혈적차이정황진행대비。방법대재아원부과분면적환자진행분면방식통계，병대기중인위부궁산화음도분면이산후출혈적정황진행대비，비교량자출혈빈솔、출혈원인이급출혈량등。결과부궁산산후출혈량명현고우음도분면(P<0.05)；량충분면방식출혈시간무현저성차이(P>0.05)；음도분면산후출혈주요원인위궁축핍력，부궁산주요원인위수술여체위인소。결론분석부궁산여음도분면산후출혈정황여원인적차이，유리우공제산후출혈。
Objective To explore the basic reason of postpartum hemorrhage patients, and compare the differences of postpartum hemorrhage in the different delivery modes, in order to serve the clinical treatment. Methods The delivery modes in gynecological patients in our hospital were input to statistical analysis,the postpartum hemorrhage in cesare-an section and vaginal delivery were comparative study, the difference in bleeding frequency, hemorrhage cause,blood loss of two groups were compared. Results The blood loss of caesarean section was significantly higher than that of vaginal delivery (P<0.05). The difference of bleeding time in two delivery modes was not significant (P>0.05).The main reason for vaginal delivery of postpartum hemorrhage was uterine inertia,while the main reason for hemorrhage of cesarean section was operation factors or position. Conclusion Clinical analysis of postpartum hemorrhage in cesarean section and vaginal delivery situation and the reason of difference is helpful to the prevention and the control of mater-nal postpartum hemorrhage.