探討高齡產婦剖宮產術后出血的危險因素

楊素芳

[摘要] 目的 統計分析高齡產婦剖宮產術后出血的危險因素。 方法 以2010年1月—2014年6月在該院進行手術的350例高齡產婦作為研究對象，按照出血量分為產后出血組和非出血組，對兩組研究對象的出血量進行統計，分析兩組患者的年齡、懷孕時間、是否合并妊娠高血壓、糖尿病、是否有宮縮乏力、流產史、產后出血史、吸煙、飲酒、巨大兒、前置胎盤以及體重指數等方面的差異。 結果 該研究的高齡產婦剖宮產后發生出血者38例，發生率為10.90%，產后出血組中術中和術后出血量分別為（1513.45±156.34） mL和（1245.32±55.21） mL；產后非出血組為312例，術中和術后的出血量分別為（221.25±67.21） mL和（108.21±65.24） mL，兩組比較差異有統計學意義（P<0.05）。妊娠高血壓、妊娠期糖尿病、流產病史、巨大兒、宮縮乏力和前置胎盤是高齡產婦發生產后出血的危險因素。 結論 高齡孕婦剖宮產產后出血的發生率較高，在臨床中必須對相關危險因素進行嚴格的控制。

[關鍵詞] 高齡產婦；產后出血；危險因素分析

[中圖分類號] R719.8 [文獻標識碼] A [文章編號] 1674-0742（2015）02（b）-0010-02

Investigation of the Risk Factors Related to Postpartum Hemorrhage in Elderly Parturient Women with Cesarean Section

YANG Sufang

Department of Obstetrics and Gynecology， Liaoning Anshan Taian County Enliang Hospital， Anshan， Liaoning Province， 114100 China

[Abstract] Objective To count and analyze the risk factors related to postpartum hemorrhage in elderly parturient women with cesarean section. Methods Three hundred and fifty elderly parturient women underwent surgery in our hospital from January 2010 to June 2014 were selected as the subjects and divided into the postpartum hemorrhage group and postpartum non-bleeding group in accordance with the amount of bleeding. The amount of bleeding of the two groups was counted. And the age， pregnancy time， gestational hypertension， diabetes， contractions fatigue， history of abortion， postpartum hemorrhage， smoking and drinking， macrosomia， placenta previa and body mass index were compared between the two groups. Results Of the elderly parturient women in this study， there were 38 cases with postpartum hemorrhage， the incidence of postpartum hemorrhage was 10.90%. The intraoperative and postoperative hemorrhage of the postpartum hemorrhage group was （1513.45±156.34）mL， （1245.32±55.21） mL， respectively， and that of the 312 cases in the postpartum non-bleeding group was （221.25±67.21）mL，（108.21±65.24）mL， respectively， the differences between the two groups were statistically significant（P<0.05）. Gestational hypertension， gestational diabetes， history of abortion， macrosomia， contractions fatigue and placenta previa were the risk factors causing postpartum hemorrhage in elderly parturient women. Conclusion As the incidence of postpartum hemorrhage in elderly parturient women is high， the risk factors related to postpartum hemorrhage should be controlled strictly in clinical practice.

[Key words] Elderly parturient women； Postpartum hemorrhage； Risk factors analysis