目的 分析前置胎盘剖宫产产妇产后出血的相关影响因素.方法 选择2020年10月至2022年10月在我院行剖宫产手术的82例前置胎盘产妇,统计产妇产后出血情况,采用单因素、多因素分析找出前置胎盘剖宫产产妇产后出血的相关影响因素.结果 82例前置胎盘剖宫产产妇产后出血发生率为40.24％(33/82);经单因素和Logistic回归分析结果显示,年龄≥35岁、宫腔操作次数≥2次、胎盘植入、胎盘粘连、瘢痕子宫、完全性前置胎盘是前置胎盘剖宫产产妇发生产后出血的危险因素(P＜0.05).结论 前置胎盘剖宫产产妇产后出血发生风险较高,产后出血的发生与产妇年龄、宫腔操作次数、胎盘植入、胎盘粘连、瘢痕子宫、前置胎盘类型密切相关.
Objective To analyze the related influencing factors of postpartum hemorrhage in cesarean section puerperae with placenta previa.Methods 82 cesarean section puerperae with placenta previa in our hospital from October 2020 to October 2022 were selected,and the postpartum hemorrhage was counted.Univariate and multivariate analysis were used to find out the related influencing factors of postpartum hemorrhage in cesarean section puerperae with placenta previa.Results The incidence of postpartum hemorrhage in 82 cesarean section puerperae with placenta previa was 40.24％(33/82).Univariate and Logistic regression analysis results showed that age≥35 years old,uterine cavity operation ≥2 times,placenta implantation,placenta adhesions,scar uterus,complete placenta previa were the risk factors of postpartum hemorrhage in cesarean section puerperae with placenta previa(P＜0.05).Conclusions The risk of postpartum hemorrhage in puerperae with placenta previa undergoing caesarean section is higher,and the occurrence of postpartum hemorrhage is closely related to maternal age,uterine cavity operation times,placental implantation,placental adhesions,scarred uterus,and complete placenta previa.
李焕霞;王瑞;黎勤
驻马店市中医院妇产科,河南驻马店 463000
临床医学
前置胎盘;剖宫产;产后出血;影响因素
Placenta praevia;Caesarean section;Postpartum hemorrhage;Influencing factor
《临床医学工程》 2024 (005)
633-634 / 2
10.3969/j.issn.1674-4659.2024.05.0633
评论