影响剖宫产指征变化因素的分析

The indication analysis of the cesarean section

目的:探讨影响近7年剖宫产率及剖宫产指征的因素。方法:对5 685例住院孕妇分娩的临床资料进行回顾性分析,其中剖宫产3 272例。结果:剖宫产率逐年升高,2005年为44.94%,2011年上升到68.23%,差异有统计学意义(P<0.01)。剖宫产的主要指征为社会因素、胎儿窘迫、难产、妊娠并发症、瘢痕子宫、臀位,各年度中社会因素均居第一位。结论:降低剖宫产率的关键是严格掌握指征,加强妊娠期监护及产程观察,提高医护人员及孕妇对剖宫产的认识,积极处理难产,减少因社会因素而行剖宫产。

Objective：To explore the rate and indications of cesarean section in the past seven years. Methods：The clinical data of 5 685 puerpera of hospital childbirth were retrospectively analysed. The puerpera undergoned cesarean section were 3 272 cases. Results ：The rate of cesarean section increased with years,which was 44.94% in 2005 and 68.23% in 2011, and their difference was statistically significant（P 〈 0.01 ）. Social factors, fetal distress, dystoeia, pregnancy complications, scar uterus and breech presentation were the main indications of cesarean section, and the first factor of cesarean section was social factors. Conclusions ： Strictly controlling indications, strengthening monitoring during pregnancy and labor observation, improving the understanding of medical staff and puerpera, actively deal with dystocia and reducing social factors are the key factors to reduce the rate of cesarean section.