剖宫产利弊探讨  

Discussion about the Advantage and Disadvantage of Cesarean Section

作　　者：羊梅兰[1] 陈康德[1] 

机构地区：[1]浙江省磐安县人民医院,磐安322300

出　　处：《浙江中医药大学学报》2008年第6期782-783,共2页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]了解剖宫产利弊,保证母婴健康。[方法]对我院2001年12月至2006年12月分娩产妇3520例中的1820例剖宫产进行分析。[结果]剖宫产率为51.7%,其中初产妇1423例,占78.18%,经产妇397例,占21.81%;年龄组以24岁～25岁的最多共计1616例,占88.79%;≤23岁69例,占3.79%;≥36岁135例,占7.42%。产妇均存活,新生儿4例死亡,围产儿死亡率0.2197%。[结论]一次恰当认真的剖宫产远比一次困难的阴道产对母儿有利,但剖宫产非绝对安全。因此,对剖宫产术的实施,应结合具体情况全面考虑。[Objective]To make the advantage and disadvantage of cesarean section clear by analyzing its oulcome in order to guarantee the safty and health of the maters and newborn infants. [Methods]A retrospective study is performed on the outcome of 1820 cases treated with cesarean section out of all the 3520 deliveries in our hospital from Deeember 2001 to June 2006. [Results] The rate of cesarean section was 51.70%, among which the primipara and the meltipara covered 1423（78.18%） and 397 （21.81%）respectively. Most of them, 1616（88.79%）were distributed in the spectrum of age from 24 to 25 years old,only 69 （3.79%）younger than 23 years old and 135（7.42%） older than 36 years old. All the maters remained alive. Only one newborn died. The perinatal mortality was 0. 2197%. [Conclusions] The outcome indicated an appropriate and careful cesarean section is more propitious to the mater and her newhorn infaht rather than a difficult vaginal delivery. But cesarean section isn＇t absolutely safe,therefore we had better take it after a comprehensive and special consideration.

关 键 词：剖宫产 母婴健康 指征 

分 类 号：R719.8[医药卫生—妇产科学]