【摘要】 目的分析近10年我院产后出血发病率及其相关因素,探讨减少产后出血合理的防治措施。方法回顾性分析1995-2004年我院住院患者产后出血1231例的临床资料。结果10年间产后出发生率为4.21%。经产妇产后出血率明显高于初产妇,两者比较差异有统计学意义(P<0.01);剖宫产发生产后出血率比阴道分娩明显增高,两者比较差异有统计学意义(P<0.01)。产后出血原因以宫缩乏力、胎盘因素多见,分别占68.89%和19.25%。后5年与前5年相比:产后出血率增高,差异有统计学意义(P<0.05),且剖宫产率及胎盘因素引起的产后出血显著增高,两者比较差异有统计学意义(P<0.01)。结论加强孕产妇保健和计划生育工作,提高住院分娩率,提高产科抢救能力,掌握剖宫产指征,以达到减少产后出血的目的。更多还原

【Abstract】 Objective To investigate the incidence rate of postpartum hemorrhage and relative factors in hope to find possible preventive measures.Methods The clinical materials 1231 cases with postpartum hemorrhage during 1995-2004 in our hospital were analyzed retrospectively.Results The incidence rate of postpartum hemorrhage was 4.21%.The rate of multipara was significant higher than that of primipara(P<0.01),and the rate in cesarean section was higher than that in vaginal delivery(P<0.01).The uterine inertia(account for 68.89%) and placenta factors(account for 19.25%) was the main reasons of postpartum hemorrhage.The rate of recent 5 years increased significantly compared with the early 5 years(P<0.05),and the placenta factors and high rate of cesarean section were the main causes of postpartum hemorrhage in the resent 5 years(P<0.01).Conclusions In order to efficiently reduce the incidence of postpartum hemorrhage,we should improve the maternal health care,advocate family planning,raise the hospitalization childbearing rate,improve the rescue ability of obstetrics and master the indication of cesarean section.更多还原