【摘要】 目的:分析产后血性恶露延长的影响因素。方法:选取2010年5~12月在我院分娩后42 d门诊复诊的产妇352例,对血性恶露超过20 d者进行年龄、分娩方式、合并症种类等相关因素进行分析。结果:血性恶露≥20 d例数明显多于<20 d者,差异有高度统计学意义(P<0.01),年龄≥41岁组出血≥20 d比例明显高于其他两组,剖宫产组出血≥20 d比例明显高于阴道分娩组,纯母乳喂养方式与其他喂养方式比较,出血≥20 d比例明显低于其他喂养方式,有多次人工流产史、产褥感染和妊娠期糖尿病(GDM)者均血性恶露时间延长,差异均有统计学意义(均P<0.05)。结论:①近年来产后血性恶露时间均呈延长趋势。②其影响因素与年龄、剖宫产、多次人工流产史、产褥感染、喂养方式相关,其中年龄、剖宫产、多次人流史、产褥感染为主要影响因素。更多还原

【Abstract】 Objective:To analyze the impact factors of postpartum prolonged bloody lochia.Methods:352 cases delivered in our hospital and back to the post-natal maternity clinic in 42 days after delivery from May to October in 2010 were reviewed.Age,mode of delivery,complications,and other types of relevant factors for women bloody lochia last ≥20 days were analyzed.Results:The number of cases bloody lochia ≥20 days was significantly more than that <20 days,the difference was statistically significant(P<0.01).The group of age≥41 years bleeding ≥20 days was significantly higher than that of the other two age groups,the cesarean section group bleeding ≥20 days was significantly higher than that of vaginal delivery group,exclusive breast feeding compared with other feeding methods bleeding >20 days was significantly lower than other ways of feeding,women with history of repeated abortion,puerperal infection and GDM bloody lochia prolonged significantly,the differences were statistically significant(all P<0.05).Conclusion:①Bloody lochia time postpartum showed prolonged in recent years.②The impact of factors are related to age,cesarean section,history of repeated abortion,puerperal infection,feeding-related,and age,cesarean section,history of repeated abortion,puerperal infection are the main factors in them.更多还原