中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
30期
41-41,43
,共2页
瘢痕子宫%再次,剖宫产%术后出血%因素
瘢痕子宮%再次,剖宮產%術後齣血%因素
반흔자궁%재차,부궁산%술후출혈%인소
Scar uterus%Again cesarean section%Postoperative bleeding%Factors
目的：探讨瘢痕子宫再次剖宫产术后出血的临床因素，并拟定预防对策。方法：收治瘢痕子宫行再次剖宫产术的产妇864例，其中发生产后出血39例，按照出血原因分为胎盘因素组8例，宫缩乏力组21例，切口裂开组9例。结果：比较剖宫术中出血量，上述3组组间差异有统计学意义(P＜0.05)。针对宫缩乏力组和切开裂开组，比较其术中出血量，组间差异有统计学意义(P＜0.05)。结论：瘢痕子宫再次剖宫产大多数是因为胎盘因素导致的产后出血，也是产后出血的重要危险因素，因此，需要及时给予处理预防。
目的：探討瘢痕子宮再次剖宮產術後齣血的臨床因素，併擬定預防對策。方法：收治瘢痕子宮行再次剖宮產術的產婦864例，其中髮生產後齣血39例，按照齣血原因分為胎盤因素組8例，宮縮乏力組21例，切口裂開組9例。結果：比較剖宮術中齣血量，上述3組組間差異有統計學意義(P＜0.05)。針對宮縮乏力組和切開裂開組，比較其術中齣血量，組間差異有統計學意義(P＜0.05)。結論：瘢痕子宮再次剖宮產大多數是因為胎盤因素導緻的產後齣血，也是產後齣血的重要危險因素，因此，需要及時給予處理預防。
목적：탐토반흔자궁재차부궁산술후출혈적림상인소，병의정예방대책。방법：수치반흔자궁행재차부궁산술적산부864례，기중발생산후출혈39례，안조출혈원인분위태반인소조8례，궁축핍력조21례，절구렬개조9례。결과：비교부궁술중출혈량，상술3조조간차이유통계학의의(P＜0.05)。침대궁축핍력조화절개렬개조，비교기술중출혈량，조간차이유통계학의의(P＜0.05)。결론：반흔자궁재차부궁산대다수시인위태반인소도치적산후출혈，야시산후출혈적중요위험인소，인차，수요급시급여처리예방。
Objective:To explore the clinical factors of postoperative bleeding after cesarean section in scar uterus,and to develop preventive measures.Methods:864 pregnant women with cesarean section in scar uterus were selected,and 39 cases had postoperative bleeding.According to the causes of hemorrhage,they were divided into the placenta factor group with 8 cases, uterine inertia group with 21 cases,dehiscence of incision group with 9 cases.Results:We compared the amount of bleeding in cesarean section,and the difference among the 3 groups was significant(P<0.05).For uterine inertia group and dehiscence of incision group,we compared the amount of bleeding in operation,the difference was significant(P<0.05).Conclusion:Most postpartum hemorrhage of cesarean section in scar uterus were caused by placental factors.It was also an important risk factor for postpartum hemorrhage,therefore it need to be treated and prevented in time.
