摘要
目的 对剖宫产率升高的原因进行分析 ,以探讨降低剖宫产率的对策。方法 对 2 0 36例剖宫产指征进行回顾性分析。结果1 992～ 2 0 0 2年平均剖宫产率 38.2 4 % ,1 998年前剖宫产率呈逐年上升趋势 ,1 998年后一直维持在较高水平。 2 0 0 2年剖宫产率达 45 .69% ,与 1 992年的 2 6 .68%相比 ,差异有显著性 (P <0 .0 1 )。 1 998～ 2 0 0 2年所有剖宫产指征中 ,社会因素占 2 2 .45 %为第一位 ,以下依次胎儿窘迫、枕位不正、臂位、羊水过少、头盆不称等 ,其中社会因素剖宫产由 1 998年的 1 7.0 4 % ,上升到 2 0 0 2年的 2 9.82 % ,二者比较差异有显著性 (P <0 .0 1 )。结论 剖宫产有时可能对母婴均有危害 ,故不是一种绝对安全的分娩方式 ,故要降低剖宫产率。
Objective To find a solution to decrease the high rate of cesarean section and analyze the causes of cesarean section. Methods The indications of cesarean section in 2036 cases were analyzed retrospectively. Results The average rate of cesarean section was 38.24% from 1991 to 2002, it went up year by year from 1992 to 1998 and kept the high rate from 1998 to 2002. The rate of cesarean section was 45.69% in 2002 and 26.68% in 1991, the difference between them was significant (P≤0.005). Among the indications of cesarean section from 1998 to 2002, the first was society factor (22.45%). The others in turns was fetal distress, fetal position abnormal, breech presentation, oligohydramnios, cephalopelvic disproportion, etc. Society factor of cesarean section had raised from 17.04% in 1998 to 29.82% in 2002, the difference of them was significant (P≤0.01). Conclusions The cesarean section is harmful to both the mother and the infant sometimes. The cesarean section is not an absolute safe method of delivery. So the rate of cesarean section must be decreased.
出处
《实用全科医学》
2004年第5期385-386,共2页
Applied Journal Of General Practice
