915例剖宫产指征临床分析  

Clinical analysis of the indications of cesarean section in 915 cases

作　　者：秦苏康[1] 王雅娟[1] 

机构地区：[1]88医院妇产科,山东泰安271000

出　　处：《实用医药杂志》2005年第1期8-9,12,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨我院妇产科近年剖宫产手术指征掌握的情况及剖宫产构成比,剖宫产对新生儿的影响。方法选调1999-04～2002-10剖宫产者915例及同期产时登记资料进行回顾性分析。结果我院剖宫产率为19%,主要剖宫产指征为:妊娠并发症、胎心监护异常、臀位及头位异常、巨大儿、产程进展异常。新生儿轻度窒息发生率阴道产为5.0%,剖宫产为2.4%,二者有显著性差异(P<0.05);重度窒息阴道产与剖宫产均为0.3%;围生儿死亡率阴道产为0.3%,剖宫产为0.2%,二者无显著性差异(P>0.05)。结论合理掌握剖宫产手术指征,确能降低新生儿窒息率和围生儿死亡率。因此,医务人员应科学地掌握剖宫产手术指征和时机,避免不合理的剖宫产手术率扩大。Objective To discuss the indication of cesarean section ,the rate of cesarean section and the effects on infants in our hospital in recent years. Methods Authors retrospectively studied cesarean section in 915 cases and the delivery cases from April, 1999 to October 2002. Results The rate of cesarean section was 19% in our hospital. The major indications of cesarean section were pregnancy complications, abnormal monitoring of infant heart rate, breech presentation, abnormal head presentation, fetal macrosomia and abnormal course of delivery.The occurence rate of mild asphyxia was 5.0% from vaginal delivery and 2.4% from cesarean section, there was great difference(P<0.05). The rate of severe asphyxia of vaginal delivery was same with cesarean section, and neonatal mortality rate was 0.3% from vaginal delivery and 0.2% from cesarean section, there was no great difference(P>0.05). Conclusion Reasonable controlling the indication of cesarean section can reduce the asphyxia occurence rate and neonatal mortality rate. Doctors should control the indication and opportunity of cesarean section scientifically and avoid the unreasonable extension of performing cesarean section.

关 键 词：剖宫产 手术指征 窒息 

分 类 号：R719.8[医药卫生—妇产科学]