2010 年至 2014 年美国产后出血趋势。
Trends in Postpartum Hemorrhage in the United States From 2010 to 2014.
机构信息
From the Departments of Anesthesiology, Perioperative and Pain Medicine.
Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
出版信息
Anesth Analg. 2020 May;130(5):e119-e122. doi: 10.1213/ANE.0000000000004424.
Postpartum hemorrhage (PPH) is a leading cause of morbidity and mortality in the United States; its prevalence increased during the 1990s-2000s. The purpose of this study was to reevaluate trends in PPH using the National Inpatient Sample. From 2010 to 2014, the prevalence of PPH increased from 2.9% (95% confidence interval [CI], 2.7%-3.1%) to 3.2% (95% CI, 3.1%-3.3%) of deliveries. Adjusting for PPH risk factors did not substantially attenuate this trend. Among patients with PPH, there was a decline in associated coagulopathy, acute respiratory failure, and maternal death, but an increase in sepsis and acute renal failure. Continued focus on PPH management is warranted.
产后出血（PPH）是美国发病率和死亡率的主要原因；其患病率在 20 世纪 90 年代至 21 世纪初有所上升。本研究旨在利用国家住院患者样本重新评估 PPH 的趋势。从 2010 年到 2014 年，PPH 的患病率从分娩的 2.9%（95%置信区间[CI]，2.7%-3.1%）增加到 3.2%（95%CI，3.1%-3.3%）。调整 PPH 风险因素并没有显著减弱这一趋势。在患有 PPH 的患者中，相关凝血功能障碍、急性呼吸衰竭和产妇死亡的发生率有所下降，但败血症和急性肾衰竭的发生率有所上升。需要继续关注 PPH 的管理。
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