近15年高原地区剖宫产率及剖宫产指征变化的临床分析

Clinical Analysis on the Changes of Cesarean Section Rate and Cesarean Section Indication in Plateau Area in Recent 15 Years

目的:总结近15年剖宫产率及剖宫产指征的变化。方法:回顾性分析我院近15年来剖宫产孕妇的临床资料。结果:(1)剖宫产率逐年升高,1991年为18%,2005年为60%。(2)1991-2000年,剖宫产指征以难产为第一位,近5年,社会因素占第一位。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,尽量减少因社会因素而行的剖宫产术。

Objective： To summarize the changes of cesarean section rate and cesarean section indication in recent 15 years. Method： Retrospectively analyzed the clinical information of gravida underwent cesarean section in recent 15 years. Result： （1） Cesarean section rate was increased year by year, with 18% in 1991 up to 60% in 2005. （2） The most common indication of cesarean section was dystocia from 1991 to 2000, but the social factors ranked the top in the last five years. Conclusion： The major cause o[ increasing cesarean section rate was due to social factors without any medical indication. The key to reduce the rate of cesarean section is to strictly follow the medical indication of cesarean section, decreasing cesarean section caused by social factors.