Impacts of Related Risk Factors on the Efficacy of Interventional Treatment Towards Intractable Postpartum Hemorrhage.

IF 0.2 4区医学 Q4 Medicine 生殖医学杂志 Pub Date : 2016-11-01

Ningdong Pang, Chao Zhao, Chunming Xie, Minling Yang, Duiping Feng, Yi Chen

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引用次数: 0

Abstract

Objective: To investigate the risk factors that impact the efficacy of interventional treatment of intractable postpartum hemorrhage (IPH).

Study design: A total of 64 IPH patients were admitted and received interventional treatment at First Hospital of Shanxi Medical University from January 2012 to September 2014, among whom 57 cases were successfully treated (bleeding stopped), while 7 cases failed. The clinical data of the success group and the failure group were observed for the multivariate analysis of the possible reasons that might cause hemostatic failure.

Results: The univariate analysis of each suspected factor of hemostatic failure showed that history of uterine scar, combined use of uterotonics, uterine inertia, and placenta exhibited statistically significant differences between the 2 groups (p<0.05); the multivariate logistic regression analysis showed that history of uterine scar and combined use of uterotonics were the risk factors for the interventional treatment failure of IPH, with OR values of 11.23 (95% CI 1.26~100.22) and 12.83 (95% CI 1.05-156.34), respectively.

Conclusion: History of uterine scar and combined use of uterotonics were the risk factors for interventional treatment failure of IPH.

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相关危险因素对难治性产后出血介入治疗疗效的影响。

目的:探讨影响难治性产后出血(IPH)介入治疗效果的危险因素。研究设计:2012年1月至2014年9月，山西医科大学第一医院共收治IPH患者64例，其中治疗成功(止血)57例，治疗失败7例。观察成功组和失败组的临床资料，对可能导致止血失败的原因进行多因素分析。结果:各可疑止血失败因素的单因素分析显示，子宫瘢痕史、联合使用子宫紧张剂、子宫惯性、胎盘在两组间差异均有统计学意义(p)。结论:子宫瘢痕史、联合使用子宫紧张剂是IPH介入治疗失败的危险因素。

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来源期刊

生殖医学杂志医学-妇产科学

自引率

0.00%

发文量

6427

审稿时长

6-12 weeks

期刊介绍： The Journal of Reproductive Medicine® has been the essential tool of Obstetricians and Gynecologists since 1968. As a highly regarded professional journal and the official periodical of six medical associations, JRM® brings timely and relevant information on the latest procedures and advances in the field of reproductive medicine. Published bimonthly, JRM® contains peer-reviewed articles and case reports submitted by top specialists. Common topics include research, clinical practice, and case reports related to general obstetrics and gynecology, infertility, female cancers, gynecologic surgery, contraception, and medical education.