李殊颖, 陈锰, 何国琳, 等.我国孕产妇产后出血输血概率增加的危险因素分析.四川大学学报(医学版),2017,48(6):937-940
我国孕产妇产后出血输血概率增加的危险因素分析
Risk Factors for Blood Transfusion in Women with Postpartum Hemorrhage: a Case-control Study
  
中文关键词:  产后出血输血危险因素 剖宫产
英文关键词:Postpartum hemorrhageBlood transfusionRisk factorsCesarean section
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中文摘要:
      目的 分析我国导致孕产妇产后出血患者输血概率增加的危险因素。方法 回顾性分析2011年1月1日~12月31日间在我国37家医院分娩的112 441例产妇的住院病历资料,获取4 131例产后出血产妇基本信息、医院级别、妊娠相关并发症、产前血红蛋白(Hb)水平、分娩方式、产后出血详情、输血情况、母胎结局等资料。应用logistic回归分析评估输血治疗概率增加的危险因素。结果 112 441例分娩产妇中剖宫产61 339例,占54.6%,4 131例发生产后出血产妇中有637例进行了输血治疗,输血率为15.4%,多数产妇输注1~4单位红细胞。多因素分析结果表明:医院级别为非三甲医院、多胎、合并前置胎盘、合并胎盘早剥、合并先兆子痫或子痫、分娩前贫血、早产、剖宫产是增加产后出血输血概率的危险因素。结论 有合并症、剖宫产等产后出血孕产妇是输血概率增加的危险因素,建议其分娩方式谨慎选用剖宫产,并做好输血准备。
英文摘要:
      Objective To investigate the risk factors for increased red blood cells (RBCs) transfusion ratio in the women with postpartum hemorrhage (PPH). MethodsThis case-control study obtained the inpatient medical records of 112 441 pregnant women from 37 hospitals in 2011. There were 4 131 women diagnosed with PPH, record data of those patients were analyzed, including basic characteristics of patients, the level of hospital, pregnancy related complications, prenatal hemoglobin (Hb), mode of delivery, details of postpartum blood loss and blood transfusion, and maternal and neonatal outcomes. Multiple logistic regression analysis was used to identify risk factors for increased RBCs transfusion ratio. ResultsThere were 61 339(54.6%)out of 112 441 women received with Cesarean section and 637 (15.4%) out of 4 131 women with PPH had blood transfusion, one to four units of RBCs were sufficient for a majority of those patients. It demonstrated that level of hospital, multiple, placenta preiva, abruptio placenta, pre-eclampsia or eclampsia, pre-delivery hemoglobin, gestational age and labor method were independent risk factors for RBCs transfusion. Conclusion Cesarean section and pregnant complications are important risk factors for blood transfusion in women with PPH .
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