近10年剖宫产率及剖宫产指征变化的临床分析

The Clinical Analysis of the Rate and Indications of Cesarean Section in Recent Ten Years

目的 :总结近 10年剖宫产率及剖宫产指征的变化。方法 :回顾性分析我院近 10年来剖宫产孕妇的临床资料。结果 :①剖宫产率逐年升高 ,1992年为 2 1.1% ,2 0 0 1年上升至 5 7%。② 1992～ 1999年 ,剖宫产指征以难产为第 1位 ,而近 2年 ,社会因素占第 1位。结论 :剖宫产率升高主要为无医学指征行剖宫产术增多所致 ,降低剖宫产率的关键是严格掌握剖宫产指征 。

Objective: To summarize the changes of cesarean section rate and its indication from 1992 to 2001.Methods: The clinical data of the gravida with cesarean section in these ten years were retrospectively studied. Results:① The rate of cesarean section has been increasing year by year. It was 21.1% in 1992,and up to 57% in 2001. ② The most common indication of cesarean section was dystocia from 1992 to 1999. But the social factor became the top one reason in the last two years. Conclusion: The major cause of increasing rate of cesarean section is social factors without any medical indication. So the key to reduce the rate of cesarean section is strictly keep the medical indication of cesarean section.