李桂晓

190例产前出血的相关因素调查分析

李桂晓

【摘要】目的分析产妇产前出血的相关因素。方法选取我院产科2012年6月～2014年12月收治190例产前出血患者，对产前出血的相关因素进行调查分析。结果入选患者中与产科相关因素有156例，其中前置胎盘造成出血的有102例，先兆早产引起的出血有32例，胎盘早剥16例，前置血管出血5例，子宫瘢痕造成出血1例；与产科无关因素有34例，其中宫颈糜烂、宫颈息肉出血18例，尿道出血6例，痔疮出血7例，早期宫颈癌2例，阴道静脉曲张破裂出血1例。结论前置胎盘、先兆早产、胎盘早剥等诸多因素均可引起产前出血，临床应针对上述因素进行防治。

【关键词】相关因素；产前出血；前置胎盘

Objective To analyse the relevant factors of antenatal hemorrhage.Methods To selected 190 cases of patients with antenatal hemorrhage at our hospital from June 2012 to December 2014，to investigated and analysed the relevant factors of antenatal hemorrhage.Results The obstetric factors was 156 cases of the included patients，the bleeding caused by placenta previa was 102 cases，the bleeding caused by threatened premature labor was 32 cases，the abruptio placentae was 16 cases，the bleeding caused by previa blood vessel was 5 cases，the bleeding caused by uterine scar was 1 cases.The irrelevant factors of obstetrics was 34 cases，the cervical erosion and cervical polyp bleeding was 18 cases，urethrorrhagia was 6 cases，hemorrhoidal bleeding was 7 cases，the early stage cervical carcinoma was 2 cases，the vagina varicesbleeding was 1 case.Conclusion The placenta previa，threatened premature labor，abruptio placentae and many factors able to cause the antenatal hemorrhage，the clinical treatment should aim at the above factors.

【Key words】Relevant factor，Antenatal hemorrhage，Placenta previa

产前出血是孕妇妊娠20周后由于受到多种因素造成的产前阴道出血。目前引起产前出血最常见的因素为前置胎盘和胎盘早剥，也会因产妇自身的胎盘或子宫异常、静脉曲张破裂等因素引起产前出血的发生。前置胎盘引起的产前出血可引起大量出血，若治疗不及时会给患者及胎儿带来生命威胁［1］。为此，临床应及时诊断并找准病因，以制定合理有效的防治措施。本次研究就产妇产前出血的相关因素进行调查分析。报道如下。

1　资料与方法

1.1一般资料

选取我院产科2012年6月～2014年12月共190例产前出血患者为对象，均符合乐杰主编的《妇产科学》［2］中关于产前出血的临床诊断标准，年龄18～42岁，孕周22～40周。

1.2方法

对所有研究对象的临床资料进行回顾性分析，主要包括产前出血的病因、分娩方式、胎儿结局及孕产史情况。……