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目的探讨改良“产后出血预测评分表”的综合临床应用效果。方法选取2011年10月-2012年9月于广东连平县妇幼保健院进行生产的290例孕产妇为研究对象,将所有孕产妇均分别采用常规产后出血预测评分表和改良产后出血预测评分表进行评估,然后将两种评分方法的产后出血评估准确率及不同分值者的不同时间出血量进行比较。结果改良“产后出血预测评分表”≥5分和3～4分者产后出血评估准确率高于常规产后出血预测评分表,且评估分值≥5分和3～4分者产后不同时间段的出血量大于常规产后出血预测评分表,P均<0.05,差异均有统计学意义。结论改良“产后出血预测评分表”的综合临床应用价值更高,可更为准确地预测产后出血的发生率。
Objective To explore the improved clinical effect of postpartum hemorrhage prediction score table. Methods A total of 290 pregnant women and women who were born in Lianping Maternal and Child Health Hospital of Guangdong Province from October 2011 to September 2012 were selected as the research objects. All the pregnant women were divided into two groups: conventional postpartum hemorrhage prediction scale and modified postpartum hemorrhage prediction scale And then compared the accuracy of post-partum hemorrhage assessment by two scoring methods and the different time of hemorrhage with different scores. Results improved “postpartum hemorrhage predictive score scale” ≥ 5 points and 3 to 4 postpartum hemorrhage assessment accuracy rate is higher than the conventional postpartum hemorrhage predictive score scale, and the assessment score ≥ 5 points and 3 to 4 points postpartum at different times The amount of bleeding in the segment was larger than that of the conventional postpartum hemorrhage predictive score, both P <0.05, the differences were statistically significant. Conclusion The improved “postpartum hemorrhage predictive score table” has a higher comprehensive clinical value and can predict the incidence of postpartum hemorrhage more accurately.