剖宫产率及剖宫产指征变化的临床分析  

Clinical analysis of changes of cesarean section rate and indication

作　　者：徐筱琳[1] 高爽[1] 

机构地区：[1]重庆市第三人民医院妇产科,400014

出　　处：《重庆医学》2006年第12期1106-1107,共2页Chongqing medicine

摘　　要：目的观察剖宫产指征的变化，探讨剖宫产率升高的原因及对策。方法选择1990～1992年与2003～2005年我院剖宫产病例，回顾性分析剖宫产指征的变化。结果1990～1992年剖宫产率19．9％，2003～2005年剖宫产率42．1％。二者比较差异有统计学意义（P〈0．01）。剖宫产指征中社会因素上升到首位。结论提高对剖宫产的认识，鼓励产妇阴道分娩，正确掌握剖宫产指征，降低剖宫产率，保障母儿身心健康。Objective To investigate the changing tendency of cesarean rate and indications, and to analyze the cause of increasing cesarean section rate. Methods Cases of cesarean section were selected from the samples during the two periods, from 1990 to 1992 and from 2003 to 2005 respectively, and the changes in cesarean section rates and indications were retrospectively studied. Results The cesarean section rate from 1990 to 1992 was 20%, however, from 2003 to 2005, the cesarean section rate reached 42%. which was significantly higher than before. The difference was very significant （P〈0.01）. The social factor rose to the first. Conclusion Our opinion on cesarean section should be improved. We should encourage spontaneous vaginal labour,control the indication for cesarean section and decrease the cesarean section rate to keep mother and baby＇s health.

关 键 词：剖宫产率 剖宫产指征 回顾性分析 

分 类 号：R719.8[医药卫生—妇产科学] R651.15[医药卫生—临床医学]