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目的 了解农村妇女产后出血的原因及相关因素 ,有针对性的进行防治。方法 选取 1998年 1月～ 2 0 0 1年 12月农村妇女产后出血 13 5例 ,并选择同期未发生产后出血 5 40例作为对照组 ,分析产后出血原因构成及相关因素对产后出血的影响。结果 产后出血原因依次为宫缩乏力、胎盘因素、软产道裂伤、凝血障碍 ,P均 <0 0 5 ,且产后出血 80 74%发生于产后 2h内 (P <0 0 1)。血液病、产程延缓阻滞、产道损伤、新生儿性别、巨大儿、胎盘因素等方面出血组与对照组比较 ,P均 <0 0 5。结论 加强产后宫缩 ,积极治疗妊娠合并症 ,正确处理产程各阶段是农村防治产后出血的主要方面。
Objective To understand the causes and related factors of postpartum hemorrhage among rural women and to prevent and cure them in a targeted manner. Methods A total of 135 postpartum hemorrhages in rural women from January 1998 to December 2001 were selected and 54 cases without postpartum hemorrhage were selected as the control group. The causes of postpartum hemorrhage and the related factors on postpartum hemorrhage were analyzed. Results The causes of postpartum hemorrhage were as follows: uterine inertia, placental factors, soft birth canal laceration, coagulopathy, P <0.05, and 80 74% of postpartum hemorrhage occurred in 2 hours postpartum (P <0.01). Blood disease, delayed labor, birth canal injury, neonatal gender, macrosomia, placental factors and other aspects of the bleeding group compared with the control group, P <0 05. Conclusion Strengthening postnatal uterine contractions, active treatment of pregnancy complications, the correct treatment of all stages of labor is the main aspects of rural prevention and treatment of postpartum hemorrhage.