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目的 探讨剖宫产率及剖宫产指征的变化和对围生儿病死率的影响。方法 选择 14年间剖宫产病例82 0例 ,分析剖宫产率及剖宫产指征变化、各项相关数据和围生儿病死率的关系。结果 ①剖宫产率逐年上升 ;②在剖宫产指征变化中 ,难产因素、胎儿窘迫持续在第 1、2位 ,社会因素占第 3位 ,并显示逐年升高 ;③围生儿病死率逐年趋于稳定。结论 剖宫产率升高 ,在一定范围内降低了围生儿病死率 ,但剖宫产率升高到 2 0 %以上时 ,围生儿病死率并不随之下降。
Objective To investigate the changes of cesarean section rate and indication of cesarean section and the effect on perinatal mortality. Methods A total of 82 cases of cesarean section were selected in 14 years. The changes of cesarean section rate and indication of cesarean section were analyzed. The relationship between the related data and perinatal mortality was analyzed. Results ①The rate of cesarean section increased year by year; ②In the change of cesarean section indications, the factors of dystocia, fetal distress continued in the first and second place, the social factor accounted for the third place, and showed a year-on-year increase; ③The perinatal death The rate tends to be stable year by year. Conclusions The rate of cesarean section increase, which reduces the perinatal mortality in a certain range. However, when the rate of cesarean section increases to more than 20%, the perinatal mortality does not decrease.