剖宫产指征20年变迁及相关因素分析  

Analysis of Changes of Cesarean Section Indication in the Past 20 Years and Correlation Factors

作　　者：蒋创[1] 钱永红[1] 顾广宇[1] 

机构地区：[1]江苏省苏州市立医院本部妇产科,江苏苏州215000

出　　处：《中国临床医学》2009年第5期764-765,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:总结20年间剖宫产率与剖宫产指征的变化,探讨降低剖宫产率的措施。方法:回顾分析1998年1月—2008年12月3组剖宫产的临床资料。结果:(1)剖宫产率呈逐年上升;(2)剖宫产指征变化中,以社会因素最明显,已跃居第3位;(3)胎儿宫内窘迫、巨大儿、再次剖宫产、臀位为指征的剖宫产增加。结论:社会因素、胎儿因素(巨大儿、臀位)所致的剖宫产显著增加是造成剖宫产率上升的主要原因。提高助产技术及产科质量评估,加强围产期保健,严格掌握剖宫产指征,重视对产妇和家属的宣教工作是降低剖宫产率的主要手段。Objective：To summarize the variation of the cesarean section rate and the indication of it in past 20 years. Mehods： Cesarean section cases occurred in our hospital from 1988 to 1992 ,from 1996 to 2000, from 2004 to 2008 were analyzed retrospectively. Results： The result shows that the rate of it is in creasing steadily. Social factors were the third indication. Conclusion：Strengthening midwifery skills training. Improving the quality of obstetric, strengthening maternal perinatal health care, education to woman and their families is indicated to curb the increase of cesarean secion.

关 键 词：剖宫产率 指征 社会因素 

分 类 号：R719.8[医药卫生—妇产科学]