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目的:研究1995~2010年银川市兴庆区剖宫产率及剖宫产指征的变化,探讨相应的对策。方法:对1995~2010年银川市兴庆区剖宫产率及剖宫产指征进行回顾性分析。结果:1995~2010年银川市兴庆区剖宫产率逐年升高,1995年为3.72%,2010年上升为33.56%。剖宫产指征变化:前10年依次以妊娠合并症/并发症、胎位因素、头盆因素为主,社会因素列居第4位;后6年社会因素跃居首位,与头盆因素、瘢痕子宫、胎位因素占前4位。瘢痕子宫、巨大儿、脐带因素、高龄初产妇呈逐年上升趋势。结论:通过严格掌握剖宫产手术指征、规范产前检查、开展无痛分娩,可以降低剖宫产率。
Objective: To study the changes of cesarean section rate and indication of cesarean section in Xingqing District of Yinchuan City from 1995 to 2010, and to discuss the corresponding countermeasures. Methods: The incidence of cesarean section and cesarean section indications in Xingqing district from 1995 to 2010 were retrospectively analyzed. Results: The rate of cesarean section in Xingqing District increased from 3.72% in 1995 to 33.56% in 1995. Cesarean indications change: the first 10 years followed by pregnancy complications / complications, fetal position factors, head-basin factors, social factors ranked No. 4; social factors in the first six years after the highest rank, and the first basin factors, Scar uterus, fetal factors accounted for the first 4. Scar uterus, macrosomia, umbilical cord factors, early primipara showed an upward trend year by year. Conclusion: Cesarean section rate can be reduced by strictly grasping cesarean section indications, standardizing prenatal examination and developing painless childbirth.