摘要
目的:分析影响产后出血的临床相关因素,评价临床干预效果。方法:选取6个基层医院为研究点,进行前瞻性研究,先进行流行病学调查;培训推广预防技术,进行临床干预;最后比较干预前后产后出血情况,评价效果。结果:影响产后出血的相关因素有产程处理,新生儿出生体重,第3产程与第4产程干预;干预前后产后出血量,产后出血率比较差异均有统计学意义。结论:孕期合理营养,正确处理产程,第3产程与第4产程干预,推广产后出血预防技术,推广称重法估计失血量,建立三级联动机制,非血源地建立预警方案等,有利于防治产后出血。
Objective：To analyze the clinical factors influencing postpartum hemorrhage in primary hospital,and evaluate the clinical intervention measures.Methods：Selected six primary hospitals as the study observation points by using cluster sampling method to do prospective study.The prevention technique of PPH,clinical interventions were used.A case control study on postpartum hemorrhage between no clinical intervention and clinical intervention to evaluate the clinical intervention effects.Results：The labor management,neonatal weight,the intervention of the third stage of labor and the fourth stage of labor were the related factors of postpartum hemorrhage.The amount of bleeding and the rate of PPH were statistic difference before and after intervention.Conclusion：Reasonable nutrition during pregnancy to control the neonatal weight,correctly handling the stage of labor,the third and the fourth stages of labor interventions and popularizing the prevention technique of postpartum hemorrhage are in favor of reducing postpartum hemorrhage.Popularizing weighing method to estimate the amount of bleeding,and accurately estimating the amount of bleeding is the key of treatment of PPH.Propose the linkage of the three level hospital emergency PPH should be established.The primary hospitals which lack of blood source,should establish the early warning program,that is helpful to prevention and treatment of postpartum hemorrhage.
出处
《现代妇产科进展》
CSCD
北大核心
2010年第5期343-346,共4页
Progress in Obstetrics and Gynecology
基金
江西省科技厅科技支撑计划(No:2007年52号)
江西省卫生厅科技计划课题(No:20071099)
关键词
基层医院
多中心研究
产后出血
相关因素
前瞻研究
临床干预研究
Primary hospitals
Multicenter studies
Postpartum hemorrhage
Related factors
Prospective studies
Clinical intervention study
