摘要
目的：探讨西藏尼木县孕产妇产后出血的原因及防治措施。方法：对2007年7月2010年6月在尼木县医院分娩的651例产妇进行回顾性分析。结果：共有产后出血61例,发生率9.37%,经产妇和初产妇产后出血的发生率无明显差异;第4胎及以上经产妇产后出血的发生率明显高于第3胎及以下经产妇（P〈0.05）。近3年产后出血率呈下降趋势,产后出血原因前三位为宫缩乏力占29.51%（18/61）,多产和宫颈裂伤占19.67%（12/61）,妊娠期高血压疾病占9.84%（6/61）。结论：应加强产时产后监护,及时有效地处理产后出血,加强产科医护人员的技术培训。
Objective：To explore the causes,prevention and treatment measures of postpartum hemorrhage in Nimu county,Tibet.Methods：651 parturient women from the hospital of Nimu county from July 2007 to June 2010 were analyzed retrospectively.Results：61 cases were found with postpartum hemorrhage,the incidence was 9.37%;there was no significant difference in incidence of postpartum hemorrhage between primiparous women and multiparous women;the incidence of postpartum hemorrhage in multiparous women who gave birth to more than three children was significantly higher than that who gave birth to less than three children（including three children）（P〈0.05）;the incidence of postpartum hemorrhage showed a downtrend in recent three years,the first three causes of postpartum hemorrhage included uterine inertia（29.51%,18/61）,multi-delivery and cervical laceration（19.67%,12/61） and hypertensive disorder complicating pregnancy（9.84%,6/61）.Conclusion：The key points of decreasing the incidence of postpartum hemorrhage include enhancing monitoring in the labor process and after the delivery,treating postpartum hemorrhage timely and correctly,strengthening the technical training of obstetric workers.
出处
《中国妇幼保健》
CAS
北大核心
2011年第6期832-834,共3页
Maternal and Child Health Care of China
关键词
产后出血
临床分析
防治措施
Postpartum hemorrhage
Clinical analysis
Prevention and treatment measures
