3199例剖宫产率及指征分析  

Analysis of incidences and indications for 3199 cesarean section

作　　者：王永珍[1] 李茉[1] 

机构地区：[1]解放军第105医院,合肥230031

出　　处：《中国优生与遗传杂志》2003年第5期92-94,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的　探讨 2 2年间 3199例剖宫产率及指征的变迁和掌握情况。方法　对 3119例剖宫产病例进行回顾性分析。结果　剖宫产率 2 4 .81%。 1980 .1～ 1990 .12指征前 3位为 :胎儿窘迫 (19.2 3% ) ,臀位 (12 .0 9% ) ,妊高征 (7.5 % ) ;1991.1～ 2 0 0 1.12指征前 3位为 :胆瘀症 (14 .6 0 % ) ,臀位 (12 .88% ) ,胎儿窘迫 (11.6 9% )。新生儿窒息率及围生儿病死率分别为9.0 6 %和 7.1‰。结论　提高医务人员及孕产妇对剖宫产的认识 ,合理掌握剖宫产指征 ,努力提高助产技术质量 ,为孕产妇提供有效的陪伴分娩和分娩镇痛 ,可使剖宫产率得到稳定并下降。Objective: To investigate the cesarean section rate through changes of incidences and indications during the past 22 years.Methods: 3199 cases of cesarean section were analyzed retrospectively.Results: The incidence of cesarean section was 24.81%.During the study period from Jan.1980 to Dec. 1990,the indications for cesarean section were fetal distress(19.23%),breech presentation(12.09%),pregnancy induced hypertension syndrome(7.5%).From Jan.1991 to Dec.2001,the indications for cesarean section were intrahepatic cholestasis of pregnancy(14.60%),breech presentation(12.88%),fetal distress(11.69%).Neonatal asphyxia rate and perinatal mortality rate was 9.06% and 7.1‰.Conclusions:The cesarean section rate should be controlled by changing the concepts on cesarean section by both medical staff and pregnant women,handling indications of cesareansection correctly,improving obstetric technique and providing effective labor analgesia and accompanied delivery.

关 键 词：剖宫产 指征 发生率 

分 类 号：R719.8[医药卫生—妇产科学]