中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
16期
134-137
,共4页
产后出血%原因%护理
產後齣血%原因%護理
산후출혈%원인%호리
Postpartum hemorrhage%Reason%Nursing
目的：研究产后出血病人的护理措施。方法将2014年1月-2015年1月期间，在该院进行分娩的产妇4500例，作为该研究的对象，针对其中产后出血的病人产后出血的原因，并针对不同妊娠方法、孕周等情况下的并发症等发生情况进行比较。结果该研究中产后出血出血的产妇有136例，产后出血的发生率为3.02%(136∕4500)。造成产后出血的危险因素以及其所占的比例分别为为宫缩乏力44.85%(61/136)，胎盘因素39.71%(54/136)，软产道损伤7.35%(10/136)，凝血功能障碍1.47%(2/136)，原因不明6.62%(9/136)。针对产后出血因素进行多因素分析，其中孕周、产程、妊娠合并症、分娩方式经统计学比较，P<0.05，具有统计学意义。结论通过对产后出血病人的产后出血因素等进行分析，产后出血的影响因素有很多，宫缩乏力是第一大影响因素，胎盘因素是第二大影响因素，还有其他的影响因素，影响着产妇的生命安全，所以需要加强产后出血的预防，制定产后出血护理方案，加强产前、产中、产后护理，并提高护理质量。
目的：研究產後齣血病人的護理措施。方法將2014年1月-2015年1月期間，在該院進行分娩的產婦4500例，作為該研究的對象，針對其中產後齣血的病人產後齣血的原因，併針對不同妊娠方法、孕週等情況下的併髮癥等髮生情況進行比較。結果該研究中產後齣血齣血的產婦有136例，產後齣血的髮生率為3.02%(136∕4500)。造成產後齣血的危險因素以及其所佔的比例分彆為為宮縮乏力44.85%(61/136)，胎盤因素39.71%(54/136)，軟產道損傷7.35%(10/136)，凝血功能障礙1.47%(2/136)，原因不明6.62%(9/136)。針對產後齣血因素進行多因素分析，其中孕週、產程、妊娠閤併癥、分娩方式經統計學比較，P<0.05，具有統計學意義。結論通過對產後齣血病人的產後齣血因素等進行分析，產後齣血的影響因素有很多，宮縮乏力是第一大影響因素，胎盤因素是第二大影響因素，還有其他的影響因素，影響著產婦的生命安全，所以需要加彊產後齣血的預防，製定產後齣血護理方案，加彊產前、產中、產後護理，併提高護理質量。
목적：연구산후출혈병인적호리조시。방법장2014년1월-2015년1월기간，재해원진행분면적산부4500례，작위해연구적대상，침대기중산후출혈적병인산후출혈적원인，병침대불동임신방법、잉주등정황하적병발증등발생정황진행비교。결과해연구중산후출혈출혈적산부유136례，산후출혈적발생솔위3.02%(136∕4500)。조성산후출혈적위험인소이급기소점적비례분별위위궁축핍력44.85%(61/136)，태반인소39.71%(54/136)，연산도손상7.35%(10/136)，응혈공능장애1.47%(2/136)，원인불명6.62%(9/136)。침대산후출혈인소진행다인소분석，기중잉주、산정、임신합병증、분면방식경통계학비교，P<0.05，구유통계학의의。결론통과대산후출혈병인적산후출혈인소등진행분석，산후출혈적영향인소유흔다，궁축핍력시제일대영향인소，태반인소시제이대영향인소，환유기타적영향인소，영향착산부적생명안전，소이수요가강산후출혈적예방，제정산후출혈호리방안，가강산전、산중、산후호리，병제고호리질량。
Objective To study the nursing for postpartum hemorrhage. Methods 4500 puerperants underwent delivery in our hos-pital from January 2014 to January 2015 were selected as the subjects of this study. The reasons caused postpartum hemorrhage in some puerperants were analyzed. And the occurrence of complications was compared between the patients with different gestation methods, gestational age and so on. Results In this study, a total of 136 puerperants had postpartum hemorrhage, the incidence of postpartum hemorrhage was 3.02%(136∕4500). The reasons that caused postpartum hemorrhage were uterine inertia, placenta fac-tor, soft birth canal injury, coagulation disorders and unknown reasons, accounting for 44.85%(61/136), 39.71%(54/136), 7.35%(10/136), 1.47%(2/136), 6.62% (9/136), respectively. The analysis of the reasons causing postpartum hemorrhage showed that the dif-ference in the incidence of postpartum hemorrhage caused by gestational age, duration of labor, complication of pregnancy and delivery mode was statistically significant, P<0.05. Conclusion The analysis of the reasons causing postpartum hemorrhage indicat-ed that many factors can cause postpartum hemorrhage, of which, uterine inertia is the first and placenta factor is the second influ-encing factor, these two and other influencing factors affect the life of puerperants, so in order to prevent the postpartum hemor-rhage, the nursing regimen for postpartum hemorrhage needs to be formulated, antenatal, natal and postnatal care needs to be strengthened, and nursing quality needs to be improved.
