摘要
目的探究高龄初产妇的产后出血风险因素。方法选取2018年1月1日-12月31日在某北京三级甲等医院分娩的产后出血高龄初产妇126例作为产后出血组,同期在该院分娩的正常高龄初产妇449例作为对照组,对比产后出血组、对照组一般资料,不同产程时间及临床资料,采用Logistic多因素回归性分析高龄初产妇产后出血发生的危险因素。结果产后出血组总产程、第一、第二、第三产程均高于对照组,产后出血组与对照组在总产程,第一、第二产程、高血压相关疾病、胎盘剥离、产钳、引产、子宫收缩乏力方面对比,差异均有统计学意义(P<0.05)。Logistic多因素回归分析结果显示,子宫收缩乏力(OR:175.625,95%CI:61.727~499.68)、胎盘剥离(OR:8.313,95%CI:1.976~34.965)、高血压相关疾病(OR:4.769,95%CI:2.523~9.013)、总产程时长(OR:1.101,95%CI:1.040~1.166)是高龄产妇产后出血发生的危险因素。结论子宫收缩乏力、胎盘剥离、高血压相关疾病、总产程时长与高龄初产妇产后出血有关,临床需根据实际情况,采取积极有效的应对措施降低发生产后出血发生率。
Objective To explore the risk factors of postpartum hemorrhage in elderly primipara.Methods 126 elderly primiparas with postpartum hemorrhage who delivered in a Three A and Tertiary Hospital in Beijing From January,1 st to December,31 st in 2018 were selected as the postpartum hemorrhage group,and 449 normal elderly primiparas who delivered in the same hospital as the control group.The general data,different stages of labor and clinical data of the postpartum hemorrhage group and the control group were compared.Logistic multivariate regression was used.To analyze the risk factors of postpartum hemorrhage in elderly primipara.Results The total stage of labor,the first,second and third stages of labor in the postpartum hemorrhage group were higher than those in the control group.There were significant differences between the postpartum hemorrhage group and the control group in the stages of labor(total,first and second),hypertension-related diseases,placenta dissection,forceps,induced labor and uterine atony(P<0.05).Logistic multivariate regression analysis showed that uterine atony(OR:175.625,95%CI:61.727~499.68),placenta dissection(OR:8.313,95%CI:1.976~34.965),hypertension-related diseases(OR:4.769,95%CI:2.523~9.013),and length of total labor(OR:1.101,95%CI:1.040~1.166)were risk factors for postpartum hemorrhage in elderly parturient.Conclusions Uterine atony,placenta dissection,hypertension-related diseases,and length of total labor were related to postpartum hemorrhage of the elderly primipara.According to the actual situation,we needed to take active and effective measures to reduce the incidence of postpartum hemorrhage.
作者
胡珊珊
朱建国
费秀珍
Hu Shanshan;Zhu Jianguo;Fei Xiuzhen(Beijing Maternity Hospital Affiliated to Capital Medical University,Beijing 100026,China)
出处
《中国病案》
2020年第1期95-98,共4页
Chinese Medical Record
关键词
产后出血
高龄初产妇
危险因素
Postpartum hemorrhage
Elderly primipara
Risk factors
作者简介
通信作者:费秀珍
