剖宫产率目标控制效果分析  

Effect Analysis of Cesarean Rate Target Control

作　　者：宋茂芳[1] 

机构地区：[1]崇州市人民医院医务科,四川崇州611230

出　　处：《临床误诊误治》2011年第12期31-33,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的控制非医学指征的剖宫产因素,以降低剖宫产率。方法将我院2010年3月～2011年2月2120例住院产妇列为观察组,2009年3月～2010年2月1583例住院产妇列为对照组,分析两组的分娩方式、剖宫产指征顺位因素以及两组产后出血和新生儿窒息的发生率。结果观察组剖宫产率为46.42%,社会因素占7.42%;对照组剖宫产率为64.94%,社会因素占58.07%,两组比较差异有统计学意义(P<0.01)。通过剖宫产率目标控制,位于剖宫产指征顺位第一位的社会因素下降为倒数第二位;两组产后出血发生率比较差异无统计学意义(P>0.05);新生儿窒息发生率比较差异亦无统计学意义(P>0.05)。结论通过制定剖宫产率目标,控制非医学指征的剖宫产,可显著降低剖宫产率。Objective To control cesarean delivery factors without medical indications in order to reduce cesarean rate. Methods 2120 parturient women admitted during March 2010 and February 2011 were selected as the observation group, 1583 parturient women admitted during March 2009 and February 2010 were selected as the control group. The delivery type, cesarean section sequence factors, the rate of flooding and asphyxia of newborns between the two groups were compared. Results The control group cesarean section rate was 64.94% including social factors 58.07%, the observation group cesarean rate was 46.42%, social factors accounted for 7.42%, with significant difference （P 〈 0. 01 ）. The cesarean section rate due to social factors were reduced obviously, the flooding rate of the observation group was compared with that of the control group and there was no significant difference （P 〉 0. 05）, but there was significant difference in the rate of asphyxia of newborns （P 〈 0. 01）. Conclusion Establishment of the goal of cesarean section rate and control cesarean delivery without medical indications, could greatly reduce cesarean section rate.

关 键 词：剖宫产术 社会因素 社会控制 正式 结果评价 

分 类 号：R719.8[医药卫生—妇产科学]