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目的:探讨西藏尼木县孕产妇产后出血的原因及防治措施。方法:对2007年7月~2010年6月在尼木县医院分娩的651例产妇进行回顾性分析。结果:共有产后出血61例,发生率9.37%,经产妇和初产妇产后出血的发生率无明显差异;第4胎及以上经产妇产后出血的发生率明显高于第3胎及以下经产妇(P<0.05)。近3年产后出血率呈下降趋势,产后出血原因前三位为宫缩乏力占29.51%(18/61),多产和宫颈裂伤占19.67%(12/61),妊娠期高血压疾病占9.84%(6/61)。结论:应加强产时产后监护,及时有效地处理产后出血,加强产科医护人员的技术培训,是降低产后出血发生率的关键。
Objective: To investigate the causes of maternal postpartum hemorrhage and preventive measures in Nimu County, Tibet. Methods: A retrospective analysis was performed on 651 pregnant women who gave birth at the hospital in Nimu County from July 2007 to June 2010. Results: The total number of postpartum hemorrhage in 61 cases, the incidence of 9.37%, the incidence of postpartum hemorrhage by maternal and primiparous no significant difference; the incidence of postpartum hemorrhage in the fourth and higher maternal postpartum was significantly higher than that of the third and subsequent maternal P <0.05). The incidence of postpartum hemorrhage in the past three years showed a decreasing trend. The top three causes of postpartum hemorrhage were uterine atony (29.51%, 18/61), prolonged labor and cervical laceration (19.67%, 12/61), hypertensive disorders 9.84% (6/61). Conclusion: The key to reducing the incidence of postpartum hemorrhage should be to strengthen postnatal care during labor, timely and effective treatment of postpartum hemorrhage, and to strengthen the technical training of obstetric medical staff.