生育政策下剖宫产率及剖宫产指征变化的分析  

Analysis of Cesarean Section Rate and Changes of Cesarean Section Signs under the Family Planning Policy

作　　者：刘洪慧 孙彦华 米鑫 LIU Hong-hui;SUN Yan-hua;MI Xin(Department of Gynecology and Obstetrics,Shunyi District Maternal and Infant Healthcare Hospital (Shunyi Women's and Children's Hospital,Beijing Children's Hospital),Beijing,101300 China)

机构地区：[1]北京市顺义区妇幼保健院(北京儿童医院顺义妇儿医院)妇产科,北京101300

出　　处：《系统医学》2019年第4期131-133,共3页Systems Medicine

摘　　要：目的分析二孩政策前后,北京市顺义区妇幼保健院的剖宫产率及剖宫产指征的变化。方法选取北京市顺义区妇幼保健院妇产科2015年1月—2017年12月20 835例产妇的病例资料,分为2015年、2016年及2017年3组进行回顾性分析。结果 2015年、2016年及2017年,该院剖宫产率分别为36.92%、34.64%和38.35%,差异有统计学意义(P<0.05)。其中,瘢痕子宫指征位于首位,分别为36.64%、41.06%、50.30%,逐年增加,差异有统计学意义(χ~2=78.42,P<0.05)。社会因素指征剖宫产所占比例分别为3.89%、3.06%、2.13%,2017年明显低于2016年(χ~2=12.17,P<0.05)。结论二孩生育政策前后,该院的剖宫产率从2015—2016年稍有下降,2017年有上升趋势,社会因素指征所占比例显著降低。积累和探索经阴道分娩的剖宫产术后临床病例是今后需要解决的问题。Objective To analyze the cesarean section rate and changes of cesarean section signs under the family planning policy in the Shunyi District Maternal and Infant Healthcare Hospital.Methods 20 835 cases of delivery women in our hospital from January 2015 to December 2017 were selected and divided into three groups,including the group in 2015,the group in 2016 and the group in 2017.Results The cesarean section rates in 2015,2016 and 2017 were respectively 36.92%,34.64%,38.35%,and the differences were statistically significant(P<0.05),and the scar uterus indication was in the first place,respectively accounting for 36.64%,41.06%,50.30%,increasing year by year,and the difference was statistically significant(χ^2=78.42,P<0.05),and the social factor sign cesarean section ratios were respectively 3.89%,2.26%,2.13%,and the index in 2017 was obviously lower than that in 2016(χ^2=12.17,P<0.05).Conclusion The cesarean section rate in our hospital decreases slightly from 2015 to 2016 before and after the second-child family planning policy,the indicator in 2017 shows an increasing trend,and the proportion of social factor signs obviously decreases,and the clinical cases with vaginal delivery after the cesarean section is the first problem in future.

关 键 词：剖宫产率 剖宫产指征 剖宫产史 经阴道分娩 

分 类 号：R714[医药卫生—妇产科学]