产妇产后大出血的影响因素分析及高质抢救与护理的应用效果观察

李惠敏

（扶风县人民医院，陕西 宝鸡，722200）

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摘要：

目的 对产妇产后大出血的影响因素及实施高质抢救及护理的应用效果进行研究。方法 选取我院收治的产后大出血产妇50例，随机分为对照组和研究组，各25例。对照组开展常规护理，研究组给予高质抢救及护理，分析产后大出血的影响 因素，比较两组产妇抢救后2 h出血量与24 h出血量以及护理满意度。结果 在产后大出血的影响因素中，子宫收缩乏力占比明显高于胎盘因素、妊娠高血压、软产道损伤及凝血功能障碍（P<0.05）；研究组产妇抢救后2 h出血量、24 h出血量均明显低于对照组，且满意度评分明显高于对照组（P<0.05）。结论 子宫收缩乏力是产妇产后大出血主要影响因素之一，为产妇开展高质抢救与护理可以明显减少出血量，提升产妇的满意度。

关键词：产后大出血；影响因素；高质抢救

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)25-0129-02

The influence factors analysis of postpartum hemorrhage and application effect of high quality rescue and nursing care
LI Hui-min
(People``s Hospital of Fufeng County, Baoji 722200, China)

ABSTRACT: Objective To analyze the influence factors of postpartum hemorrhage and application effect of high quality rescue and nursing care. Methods Fifty patients with postpartum hemorrhage were selected and randomly divided into control group and study group, with 25 cases in each group. The control group carried out the routine nursing care, while the study group was given high-quality rescue and nursing care, then the influence factors of postpartum hemorrhage were analyzed and the bleeding amount at 2 hour and 24 hour after rescue and satisfaction of the two groups were compared. Results The proportion of uterine inertia was significantly higher than that of placental factors, pregnancy-induced hypertension, soft birth canal injury and coagulation dysfunction in influence factors of postpartum hemorrhage (P<0.05). The bleeding amounts at 2 hour and 24 hour after rescue in the study group were significantly lower than those in the control group, and the satisfaction score was significantly higher than that in the control group (P<0.05). Conclusion Uterine inertia is a major factor of postpar原
tum hemorrhage and to pursue high-quality rescue and nursing care can significantly reduce the amount of bleeding, and improve maternal satisfaction.
KEYWORDS: postpartum hemorrhage; influencing factors; high-quality rescue

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