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目的探究经阴道分娩产后出血的高危因素及相应护理对策。方法选择2011年7月~2014年7月在我院经阴道分娩发生产后出血的产妇86例,分析其发生出血的高危因素,并总结相应护理对策。结果所选86例患者中有75.58%的患者出血原因为子宫收缩乏力,有11.63%的患者是由于胎盘原因,有9.30%的患者原因为软产道损伤,其余3.49%的患者原因为凝血功能障碍。所有患者通过实施相应护理措施后均治愈出院。结论子宫收缩乏力、软产道损伤等都是引发经阴道分娩产妇发生产后出血的高危因素,产前、产程和产后合理有效的护理措施可有效预防产后出血的发生,并帮助产后出血患者及时恢复。
Objective To investigate the risk factors of postpartum hemorrhage in vaginal delivery and corresponding nursing strategies. Methods Eighty-six cases of postpartum hemorrhage during vaginal delivery in our hospital from July 2011 to July 2014 were analyzed. The risk factors for bleeding were analyzed and the corresponding nursing strategies were summarized. Results 75.58% of the 86 selected patients had uterine atony, 11.63% were due to placenta, 9.30% were due to soft birth canal injury, and 3.49% were due to coagulation dysfunction . All patients were cured by the implementation of appropriate nursing interventions. Conclusions Uterine atony and soft birth canal injury are all the risk factors of postpartum hemorrhage caused by vaginal delivery. The prenatal, labor and postpartum reasonable and effective nursing measures can effectively prevent the occurrence of postpartum hemorrhage and help the postpartum hemorrhage recover promptly.