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目的分析产后出血患者发生慢性盆腔炎的危险因素。方法回顾性分析滑县人民医院2013年12月—2015年12月产后出血产妇114例,以35例产后并发慢性盆腔炎的产妇为观察组,另79例未并发慢性盆腔炎的产妇为对照组,比较两组产妇年龄、孕周、产次、产后出血量、刮宫史、羊水浑浊、剖宫产、产后卫生习惯等差异性,采用logistic单因素回归分析,判断导致产后出血产妇发生慢性盆腔炎的危险因素。结果观察组年龄、孕产次显著高于对照组(P<0.05);观察组患者刮宫史率、羊水浑浊率、剖宫产率分别为45.71%、11.43%、28.57%,高于对照组26.58%、1.27%、2.53%,差异有统计学意义(P<0.05);观察组患者产后卫生习惯不良率为62.86%,高于对照组15.19%(P<0.05)。结论年龄偏大、孕产次≥2次、刮宫史、羊水浑浊、剖宫产、产后卫生习惯不良均是导致产后出血产妇并发慢性盆腔炎的危险因素。
Objective To analyze the risk factors of chronic pelvic inflammatory disease in postpartum hemorrhage patients. Methods A retrospective analysis of 114 cases of postpartum hemorrhage in Huaxian People’s Hospital from December 2013 to December 2015 with 35 postpartum women with chronic pelvic inflammatory disease as observation group and 79 cases without chronic pelvic inflammatory disease as control group The differences of maternal age, gestational age, delivery time, postpartum hemorrhage, curettage history, amniotic fluid opacity, cesarean section and postpartum hygiene were compared between the two groups. Logistic regression analysis was used to determine the incidence of chronic pelvic inflammatory disease Risk factors. Results The observation group had significantly higher age and gestational age (P <0.05). The curettage rate, amniotic fluid opacity and cesarean section rate in the observation group were 45.71%, 11.43% and 28.57%, respectively, which were higher than those in the control group %, 1.27% and 2.53%, respectively. The difference between the two groups was statistically significant (P <0.05). The incidence of postpartum hygienic habit in the observation group was 62.86%, higher than that in the control group (15.19%, P <0.05). Conclusions The older age, the second or third trimester of pregnancy, the history of curettage, cloudy amniotic fluid, cesarean section and postpartum hygienic habits are the risk factors of postpartum hemorrhage complicated with chronic pelvic inflammatory disease.