剖宫产1596例临床指征分析  

The analysis of clinical indication of the cesarean sections

作　　者：史洪超[1] 

机构地区：[1]淮南新康医院妇产科,安徽省淮南232007

出　　处：《中国基层医药》2007年第8期1303-1304,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的分析剖宫产各项临床指征在循征医学中的合理性,寻找降低剖宫产率的对策。方法对2003年3月至2006年2月3年间1 596例剖宫产病例资料进行回顾性分析。结果近3年平均剖宫产率为41%,明显高于WHO提出的目标。前5位主要指征为胎儿窘迫、社会因素、头位难产、脐带绕颈、瘢痕子宫。结论高剖宫产率的原因是由医患双方造成的,因此,降低高剖宫产率必须从医患双方着手解决。Objective To analyze the -ness of clinical indications of the cesarean section in evidence-based medicine, and to search for the countermeasure that dropped the higher cesarean section rates. Methods Between March 2003 and February 2006,1596 cases pregnant women with cesarean sections were analyzed retrospectively. Results In the latest 3 years,average cesarean section rate was 41% ,which was higher than the proposed goals of the World Health Organization（ 〈 15 % ）. The first five factors were fetus intrauterine distress, social factors, subcapital type difficult labor,cord around neck and cicatricial uterus. Conclusion The reasons of the higher cesarean section rates are caused by both sides of doctors and patients. Therefore,both doctors and patients must be considered to reduce the higher cesarean section rates.

关 键 词：剖宫产术 难产 社会价值 

分 类 号：R719.8[医药卫生—妇产科学]