近10年剖宫产率及指征变化分析

Analysis on uterine-incision delivery rate and its indications in recent ten years

目的:分析近10年的剖宫产率及剖宫产指征的变化,探讨剖宫产率升高的原因,以正确掌握剖宫产指征,提高产科质量。方法:对长海医院1993～1995年的剖宫产病例944例、2003～2005年间的剖宫产病例1947例进行回顾性分析,比较前后10年间剖宫产率及剖宫产指征的变化。结果:1993～1995年剖宫产率为39.95%,2003～2005年剖宫产率为73.69%,两者存在显著差异(P<0.001)。两组前4位剖宫产指征均为胎儿宫内窘迫、相对性头盆不称、妊高征及臀位,但胎儿宫内窘迫所占比例有明显上升。结论:剖宫产率的升高是多因素综合作用的结果,应适当控制剖宫产率,选择最有利于母婴健康的分娩方式。

Objective： To analyze the change of cesarean delivery rate and indications in recent 10 years, conclude the reasons for it, and hold correctly the indication for cesarean delivery, so as to improve the quality of obstetrics working. Methods： Retrospective study of the clinic records cesarean section in our hospital from 1993 to 1995 and 2003 to 2005 was conducted to contrast the change between the two groups. Results： The cesarean delivery rate of the first group was 39. 95%, while the second 73.69%, the difference between groups was obvious （P 〈 0. 001 ） . The main indications for cesarean delivery were fetal distress, correspondence cephalopelvic disproportion, hypertensive disorders complicating pregnancy and breech presentation. Conclusion： The rise of cesarean delivery rate is the result of many factors, effective measurements should be taken to control the cesarean delivery rate, and to choose the delivery way which is best for mothers and infants.