摘要
目的探讨影响非产后出血孕妇分娩后出血量的危险因素。方法随机抽取389例正常分娩的产妇,按新生儿出生体重、妊娠胎数、分娩方式、第三产程时间、人工流产病史等因素分组,进行秩和检验比较产后24小时出血量;并对具有不同个数以上危险因素的产妇组进行秩和检验比较,分析其对产后出血量的影响。结果(1)巨大儿组较非巨大儿组、双胎组较单胎组、手术助产组较自然产组产后24小时出血量多(P<0.05),而第三产程时间及人工流产病史对出血量无显著影响。(2)具有1、2或3个产后出血危险因素组的产后出血量高于无危险因素组(P<0.001);具有2个产后出血危险因素组的产后出血量高于具有1个危险因素组(P<0.001)。结论巨大儿、双胎以及手术助产是导致分娩出血量增加的主要危险因素,且产妇同时具有产后出血危险因素的个数越多则产后出血量可能越大。
Objective To explore the risk factors of postpartum haemorrhage quantity in non-postpartum haemorrhage delivery. Methods The study consisted of 389 women without postpartum haemorrhage （PPH）. The whole subjects were divided into different groups according to baby＇s birth weight, multiple pregnancy, method of birth, the third stage of labour and history of abortion. To compare the blood of 24 hours after the birth of the baby between different groups, and the clustering of risk factors. Results （1） Women with multiple pregnancy, fetal macrosomia, or cesarean section and instrumental intervention had more bleeding after the birth of the baby compared with the controls, respectively （P〈0.05）. While prolonged third stages of labour and abortion were not significantly associated with the bleeding occurring 24 hours after the birth of the baby. （2） The bleeding occurring 24 hours after the birth of the baby was associated with the number of the risk factors （P〈0. 001）. Conclusion The bleeding occurring 24 hours after the birth of the baby is mostly associated with multiple pregnancy, fetal macrosomia, cesarean section and instrumental intervention during the delivery, and it is also associated with the number of the risk factors.
出处
《福建医药杂志》
CAS
2009年第4期3-5,共3页
Fujian Medical Journal
关键词
非产后出血
出血量
危险因素
Non-postpartum haemorrhage
Blood
Risk factors
