实用妇产科杂志2012，Vol.28Issue(3)：201-204,4.
产后出血不同时段出血量的危险因素分析
Risk Factors for Bleeding Amounts in Different Periods for Patients with Postpartum Hemorrhage
摘要
Abstract
Objective: To investigate risk factors associated with bleeding amounts in different periods for patients with postpartum hemorrhage. Methods: 156 cases with postpartum hemorrhage were enrolled, and the clinical data were collected. The bleeding amounts in different periods after postpartum hemorrhage werecompared. The relationships between the bleeding amounts of different periods and the associated clinic data were analyzed. Results:①The bleeding amount during the third stage of labor was the largest (P<0.05). The bleeding amount during the thirty minutes after maternal delivered was the second. There were no significant differences between each other periods (P>0.05).②There was significantly positive correlation between body mass index(BMI), uterine heightand the bleeding amount before and during the placenta delivered (B=0. 341 and 0. 345, P<0.05). Hemoglobin (Hb), red blood cell (RBC), and prenatal care times were correlated negatively with the bleeding amount during the placenta delivered, and the thirty minutes after maternal delivered (S= -0.354, -0.751 and -0.237, P<0.05). The bleeding amount before placenta delivery was significantly higher in patients with abnormal pregnancy history (P<0.05). The bleeding amount during placenta delivery was significantly higher in cesarean section and abnormal placenta delivery (P<0.05). The bleeding amounts during thirty minutes, thirty minutes to one hour, one hour to two hours after maternal delivered were significantly increased in hydramnios.overdistended uterus, twins or macroso-mia( P<0.05). Conclusions:The bleeding amounts during the thirty minutes after labor-onset was the largest. Different periods had different risk factors.关键词
产后出血/危险因素/多因素分析Key words
Postpartum hemorrhage/Risk factors/Multivariate analysis分类
医药卫生引用本文复制引用
颜建英,徐霞,徐榕莉,黄晓燕,刘青闽,林顺和..产后出血不同时段出血量的危险因素分析[J].实用妇产科杂志,2012,28(3):201-204,4.基金项目
福建省科技计划重点项目(编号:2009Y0008),福建省卫生厅医学创新课题(编号:2009-CXB-32) （编号:2009Y0008）
