产前超声检查对推高剖宫产率的影响分析  

The analysis of affection of prenatal ultrasound in improving cesarean section rate

作　　者：温玉珍[1] 陈正五[1] 

机构地区：[1]河南省鲁山县人民医院,河南鲁山467300

出　　处：《现代预防医学》2013年第5期840-841,共2页Modern Preventive Medicine

摘　　要：目的分析剖宫产的原因，探讨降低剖宫产率的措施。方法某院2009、2010、2011年3年所做的4310例剖宫产病历进行回顾性总结，分析及剖官产的原因。结果2009、2010和2011年剖宫产率分别为47．49％、49_53％和51．81％，呈逐年上升的趋势。3年剖宫产指征中瘢痕子宫所占比例是逐年升高，尤其是2011年最高（x^2=6．821，P〈0．01）。胎儿窘迫、社会因素、臀位、巨大儿、羊水过少、脐绕颈、产程异常、妊娠合饼症及并发症等统计学处理均无明显差异（P〉0．05）。结论超声产前检查警示的风险是剖宫产率增高的主要因素。因瘢痕子宫所致的剖宫产是剖宫产率逐年上升的主要原因。OBJECTIVE To analyze the reasons of cesarean section and discuss the measures to reduce the rate of cesarean section. METHODS Medical records of 4 310 cases with cesarean section in the hospitals in 2009, 2010 and 2011 were ana- lyzed retrospectively. RESULTS The cesarean section rate in 2009, 2010 and 2011 was 47.49%, 49.53% and 51.81%, re- spectively, showed an increasing trend. The uterine scar proportion of cesarean section indications during the past three years was increasing year by year, especially in 2011, was the highest （x^2= 6.821, P 〈 0.01 ）. Fetal distress, social factors, too little breech, huge children, amniotic fluid, umbilical cord around neck, labor abnormalities, pregnancy complications and complications showed no significant differences during the past three years （P 〉 0.05）. CONCLUSION The risk of the uhra- sound prenatal check alert is a major factor in the increased rate of cesarean section. Uterine scar is the main reason for the in- creased cesarean section rate year by year.

关 键 词：产前超声检查 剖宫产率 剖宫产指征 瘢痕子宫 

分 类 号：R445.1[医药卫生—影像医学与核医学]