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目的探讨产后血性恶露时间延长的影响因素。方法选取2014年7月-2015年6月在湖南省妇幼保健院分娩,并于产后42 d在产后保健科复诊的产妇482例,调查记录产妇的基本情况(年龄、文化程度、职业、分娩方式、喂养方式、产褥期饮食状况、睡眠及生活卫生行为状况、运动情况)以及血性恶露持续时间等资料,并对不同年龄、文化程度、职业状况、分娩方式、喂养方式、睡眠时间及运动情况、药物使用等产妇之间的血性恶露持续时间进行差异比较。结果年龄≥35岁血性恶露持续时间(24.4±1.3 d)明显大于25岁以下年龄段产妇(19.1±0.4 d),差异有统计学意义(P<0.05);与自然分娩(21.6±0.6 d)相比,剖宫产组(24.7±0.9 d)血性恶露持续时间延长;睡眠时间充足、饮食方式均衡、产后适当运动和接受产后康复治疗的产妇血性恶露持续时间缩短(P<0.05)。结论产后血性恶露时间受产妇年龄、分娩方式、睡眠时间、饮食、运动和产后康复治疗等多方面的影响,医生应该重视产后保健的指导。
Objective To investigate the influencing factors of prolonged postpartum bloody lochia. Methods A total of 482 pregnant women were interviewed in the Department of Hematology and MCH in Hunan Province from July 2014 to June 2015, and 422 postpartum patients were interviewed in the Department of Hematology. The survey records the basic conditions (age, education level, occupation, mode of delivery , Feeding patterns, the status of postpartum food and drink, sleeping and living hygienic behaviors, exercise conditions) and the duration of bloody lochia. The data of different age, educational level, occupational status, mode of delivery, feeding pattern, sleep time and exercise status, Differences in the duration of bloody lochia between maternal and females were compared. Results The duration of bloody lochia ≥35 years (24.4 ± 1.3 days) was significantly higher than that of women younger than 25 years (19.1 ± 0.4 days) (P <0.05). Compared with spontaneous delivery (21.6 ± 0.6 days) (24.7 ± 0.9 d). The prolonged bloody lochia in the cesarean section (24.7 ± 0.9 d), adequate sleep duration, balanced diet, postpartum proper exercise and postpartum convalescent maternal bloody lochia decreased (P <0.05). Conclusions Postpartum bloody locust time is influenced by many factors such as maternal age, mode of delivery, sleeping time, diet, exercise and postpartum rehabilitation. Doctors should pay more attention to the guidance of postpartum care.