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目的:探讨剖宫产率及剖宫产指征的变化和降低剖宫产率的临床措施。方法:回顾10年间剖宫产病例2 706例,分析剖宫产率及剖宫产指征变化,各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:只要严格掌握剖宫产指征,剖宫产率是可以控制的,围生儿死亡率也可以稳定在正常范围内。
Objective: To investigate the changes of cesarean section rate and cesarean section indications and clinical measures to reduce cesarean section rate. Methods: A retrospective analysis of 2 706 cases of cesarean section in 10 years was conducted. The changes of cesarean section rate and indication of cesarean section were analyzed. Correlation between the data and perinatal mortality was analyzed. Results: ① The 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-by-year increase; ③ perinatal The mortality rate tends to be stable year by year. CONCLUSIONS: Cesarean delivery rates are manageable as long as strict indications for cesarean delivery are available and perinatal mortality can also be stabilized within the normal range.