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目的研究该院2013-2015年女性产后出血的发病率,分析其相关影响因素。方法选取2013年1月-2015年12月在该院住院分娩的4 930例妇女为研究对象,对其临床资料进行回顾性分析,其中2 300例为经产妇,2 630例为初产妇。结果3年内该院剖宫产者2 131例(43.23%),顺产者2 799例(56.77%);产后总出血率为6.00%,剖宫产出血率(3.97%)高于顺产出血率(2.02%),差异有统计学意义(P<0.05);产后出血的原因以宫缩乏力(47.63%)、胎盘因素(30.74%)、软产道损伤(19.33%)多见。结论产后出血发病率多见于剖宫产分娩,充分认识与及时处理产后出血原因有利于降低产后出血发病率。
Objective To study the incidence of female postpartum hemorrhage in the hospital from 2013 to 2015 and analyze the related factors. Methods A total of 4 930 women hospitalized in our hospital from January 2013 to December 2015 were selected as the study subjects. The clinical data of the women were retrospectively analyzed. Of these, 2 300 were maternal and 2 630 were primipara. Results The cesarean section rate was 2 131 (43.23%) in 3 years and 2 799 (56.77%) in the cesarean section; the postpartum total bleeding rate was 6.00%; the cesarean section bleeding rate (3.97%) was higher than that of the cesarean section 2.02%), the difference was statistically significant (P <0.05). The causes of postpartum hemorrhage were uterine inertia (47.63%), placenta factor (30.74%) and soft birth canal injury (19.33%). Conclusion The incidence of postpartum hemorrhage is more common in cesarean section delivery, fully understand and timely treatment of causes of postpartum hemorrhage is conducive to reducing the incidence of postpartum hemorrhage.