CAJ | 학술논문

目的：研究难产性产后出血高危因素及紧急子宫切除术的疗效。方法：48例难产性产后出血产妇为实验组，同期48例非产后出血产妇为对照组，对其相关因素进行单因素及多因素分析。实验组分别采取宫腔纱布填塞或子宫切除疗法，对比疗效。结果：实验组产妇的年龄、宫缩乏力、软产道损伤、胎盘因素、产程、凝血功能障碍、新生儿畸形及妊娠合并症与对照组差异明显，具有统计学意义（P<0.05）。多因素分析显示难产性产后出血的危险因素与宫缩乏力、胎盘因素、凝血功能障碍、新生儿畸形及妊娠合并症密切相关。子宫切除疗法效率显著高于宫腔纱布填塞疗法（P<0.05）。结论：难产性产后出血的高危因素为宫缩乏力、胎盘因素、凝血功能障碍、新生儿畸形及妊娠合并症。紧急子宫切除疗法可提高抢救成功率，减少输血量，对预后有积极意义。
목적：연구난산성산후출혈고위인소급긴급자궁절제술적료효。방법：48례난산성산후출혈산부위실험조，동기48례비산후출혈산부위대조조，대기상관인소진행단인소급다인소분석。실험조분별채취궁강사포전새혹자궁절제요법，대비료효。결과：실험조산부적년령、궁축핍력、연산도손상、태반인소、산정、응혈공능장애、신생인기형급임신합병증여대조조차이명현，구유통계학의의（P<0.05）。다인소분석현시난산성산후출혈적위험인소여궁축핍력、태반인소、응혈공능장애、신생인기형급임신합병증밀절상관。자궁절제요법효솔현저고우궁강사포전새요법（P<0.05）。결론：난산성산후출혈적고위인소위궁축핍력、태반인소、응혈공능장애、신생인기형급임신합병증。긴급자궁절제요법가제고창구성공솔，감소수혈량，대예후유적겁의의。
Objective:to study the risk factors for postpartum hemorrhage in childbirth and emergency hysterectomy effect. Methods:48 cases of postpartum hemorrhage in childbirth as women in the experimental group, compared with 48 cases of non-maternal postpartum hemorrhage control group, univariate and multivariate analysis of its related factors. Experimental group were taken uterine gauze packing or hysterectomy therapy, contrast effect. Results:The maternal age, uterine inertia, soft birth canal injury, placental factors, labor, coagulation disorders, birth defects and pregnancy complications and significant differences between the control group, a statistically significant (P<0.05). Multivariate analysis showed that risk factors for postpartum hemorrhage and dystocia uterine inertia, placental factors, coagulation disorders, birth defects and pregnancy complications are closely related. Hysterectomy therapy was significantly higher than gauze packing intrauterine therapy (P<0.05). Conclusion dystocia risk factors for postpartum hemorrhage uterine inertia, placental factors, coagulation disorders, birth defects and pregnancy complications. Emergency hysterectomy therapy can improve the success rate and reduce the amount of blood transfusion, there is a positive prognostic significance.