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目的:分析二次剖宫产术中的出血风险,研究相关预防对策。方法:选取2014年6月-2015年6月时期在我院治疗的二次剖宫产产妇140例,其中对照组患者80例,观察组患者60例。对比分析两组产妇出血原因,及不同原因所占的比例,在此基础之上提出针对性预防措施。结果:观察组患者平均出血量与出血率较对照组高P<0.05差异性显著。手术出血风险因素中胎盘因素、宫缩乏力占有相当比例,与其他因素相比P<0.05差异具有显著性。结论:二次剖宫产出血风险因素较多,其中胎盘因素、宫缩乏力是主要因素,因此,临床中应结合产妇实际采取有效的预防对策,进一步提高二次剖宫产术的安全性。
Objective: To analyze the risk of bleeding in secondary cesarean section and to study the related preventive measures. Methods: 140 cases of second cesarean section were treated in our hospital from June 2014 to June 2015, 80 cases in the control group and 60 cases in the observation group. Comparative analysis of the causes of maternal bleeding in two groups, and the proportion of different causes, on this basis, put forward targeted preventive measures. Results: The average bleeding volume and bleeding rate in the observation group were significantly higher than those in the control group (P <0.05). Placental factors in surgical risk factors for bleeding, uterine inertia occupy a considerable proportion, compared with other factors P <0.05 difference was significant. Conclusion: There are many risk factors for secondary cesarean section bleeding. Placental factors and uterine atony are the main factors. Therefore, effective preventive measures should be taken in combination with maternal practice to further improve the safety of secondary cesarean section.