3380例剖宫产术指征及社会因素分析  

Analysis of indications and social factors for 3380 cesarean section cases

作　　者：林湖滨[1] 景宜馨[1] 景雅[2] 

机构地区：[1]深圳华侨城医院,518000 [2]山西医科大学基础学院组胚教研室

出　　处：《中国现代药物应用》2015年第13期258-259,共2页Chinese Journal of Modern Drug Application

摘　　要：目的总结剖宫产率的变化及影响因素。方法对5年间3380例剖宫产产妇进行回顾性分析。结果剖宫产率呈总体下降趋势,但平均剖宫产率(42.46%)仍然较高。5年中社会因素、胎儿窘迫、瘢痕子宫始终处于剖宫产指征的前3位;社会因素剖宫产由2009年的34.51%逐年上升到2013年的41.91%,差异具有统计学意义(P<0.05);社会因素中惧怕疼痛(28.34%)和担心母儿安全(22.91%)是主要的原因。结论剖宫产率的升高主要受社会因素的影响,临床中要合理掌握剖宫产指征,降低剖宫产率。Objective To summarize changes and influencing factors of cesarean section rate. Methods A retrospective analysis was made on 3380 puerperae of cesarean section. Results Cesarean section rate showed a generally decreased trend, while the average cesarean section rate （42.46%） was still at the high level. In the recent 5 years, social factors, fetal distress and scarred uterus were the first three indications for cesarean section. Rate of cesarean section by social factors increased gradually from 34.51% in 2009 to 41.91% in 2013, and the difference had statistical significance （P〈0.05）. The social factors mainly included fear of pain （28.34%） and concern of maternal and fetal safety （22.91%）. Conclusion Increased cesarean section rate is mainly influenced by social factors. Rational control of cesarean section indications in clinic can reduce cesarean section rate.

关 键 词：剖宫产率 剖宫产指征 社会因素 

分 类 号：R719.8[医药卫生—妇产科学]