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编号:12318350
产妇剖宫产率上升的原因分析(1)
http://www.100md.com 2012年10月25日 付艳艳
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     [摘要] 目的 探讨2010年产妇剖宫产率上升的原因,分析剖宫产指征构成与变化。 方法 选择我院2010年住院分娩的剖宫产产妇2451例,同时选择2000年剖宫产产妇的临床资料,对比分析两组资料的剖宫产率、剖宫产影响因素及其变化。 结果 2010年我院剖宫产率比2000年显著提高(P < 0.05),2010年社会因素、再次剖宫产、过期妊娠相比2000年构成比显著增加(P < 0.05),巨大儿、相对头盆不称、ICP、珍贵儿的构成比相比2000年显著降低(P < 0.05)。 结论 剖宫产主要因素是社会因素,针对性进行干预是降低剖宫产率的主要手段。

    [关键词] 产妇;剖宫产率;原因

    [中图分类号] R719.8 [文献标识码] B [文章编号] 1673-9701(2012)30-0141-02

    Analysis of reasons for increase of cesarean section rate

    FU Yanyan

    Department of Obstetrics, Baiyun District First People's Hospital of Guangzhou, Guangzhou 510410, China

    [Abstract] Objective To investigate the reasons for the increase of the cesarean section rate in 2010 and analyze the structure and changes of the cesarean section indicators. Methods A total of 2451 puerperae receiving cesarean section in our hospital in 2010 and the clinical data of puerperae receiving cesarean section in 2000 were selected. The influencing factors and changes of the cesarean section rate and the cesarean section of the two groups were compared and analyzed. Results The cesarean section rate of our hospital in 2010 significantly increased compared to that in 2000 (P < 0.05); The proportions of social factors, repeat cesarean section and prolonged pregnancy in 2010 significantly increased compared to those in 2000 (P < 0.05); The proportions of giant baby, relative cephalopelvic disproportion, ICP and precious baby in 2010 significantly decreased compared to those in 2000 (P < 0.05). Conclusion The main influencing factor of cesarean section is the social factor. Targeted intervention is the primary means to reduce the cesarean section rate ......

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