摘要
目的:分析我院4年间妇产科剖宫产率的变化及相关因素,为降低剖宫产率提供一些参考。方法:所选病例资料进行年分娩总数、剖宫产率、难产率、围生儿死亡率以及各种主要剖宫产指征所占比例,并对其进行分析,统计相关的构成比率,进一步分析影响这些变化的因素。结果:4年来剖宫产率呈逐年显著上升趋势,由2005年的35%上升至2008年的52%(P<0.01),而早产儿死亡率,死产率均呈上升趋势,围生儿死亡率无明显下降。导致剖宫产升高的主要因素很大一部分是无医学指征剖宫产(要求手术),这个因素2008与2005年比较有显著性差异(P<0.05)。其中难产也占很大一部分,2008与2005年比较有显著性差异(P<0.05),巨大儿,胎儿窘迫,妊娠并发症,臀位这些比例,也逐年在升高。结论:剖宫产率在逐年增加,有社会因素也有医学因素,需要我们更好的认识,一起努力降低剖宫产率。
Objective：To analyze the four-year Obstetrics and Gynecology in our hospital caesarean section rate of change and related factors,in order to reduce the cesarean section rate to provide some research.Methods：The clinical data for the selected years,total number of deliveries,cesarean section rate,dystocia rate of perinatal mortality and children the proportion of the major indications for cesarean section,and its analysis,statistics related to the composition ratio,further analysis of the factors affecting these changes.Results：The results of four years,cesarean section rate was a significant upward trend year by year,from 35% in 2005 to 2008,52%（P 0.01）,while the premature child mortality,stillbirth rates were on the rise,perinatal child mortality rate was not significantly decreased.The main factor leading to higher cesarean section a large part is no medical indication for caesarean section（requires surgery）,this factor in 2008 and 2005 There was a significant difference（P 0.05）.Which also accounted for a large part of dystocia,in 2008 and 2005 There was a significant difference（P 0.05）,a huge children,fetal distress,pregnancy complications,breech these proportions,but also in the rise year by year.Conclusions：Cesarean section rate increased year by year,there are social factors are also medical factors,we need a better understanding,along with efforts to reduce cesarean section rate.
出处
《航空航天医药》
2010年第6期877-878,共2页
Aerospace Medicine
关键词
剖宫产
因素
分析
Cesarean section
factor
Analysis
