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目的:分析太原市迎泽区不同等级医院的剖宫产率、剖宫产指征及其相关性,探讨有效降低剖宫产率的措施。方法:回顾性分析2012年山西医科大学第一附属医院(A组)、太原市妇幼保健院(B组)、迎泽区产科医院(C组)、迎泽区郝庄镇卫生院(D组)及现代妇产医院(E组)住院分娩的7 066例临床资料。结果:A组剖宫产率为43.53%,B组为38.65%,C组为50.18%,D组剖宫产率为12.72%,E组为63.72%,五组剖宫产率差异无统计学意义(P>0.05)。A组剖宫产妇首位剖宫产指征为妊娠并发症及合并症,B组和D组的首位剖宫指征为瘢痕子宫,C组和E组剖宫产妇首位剖宫产指征为社会因素。妊娠并发症及合并症是A组的首位剖宫产指征,与其他四组相比差异有统计学意义(P<0.01)。结论:太原市迎泽区的剖宫产率趋于国家平均水平,与等级无相关性。剖宫产率的上升与诸多因素有关,只有通过医患双方和全社会的共同努力,合理掌握剖宫产指征,才能有效降低剖宫产率。
Objective: To analyze cesarean section rate, cesarean section indications and their correlation in different levels of hospitals in Yingze District of Taiyuan City, and explore the effective measures to reduce the rate of cesarean section. Methods: A retrospective analysis of the first Affiliated Hospital of Shanxi Medical University in 2012 (Group A), Taiyuan Maternal and Child Health Hospital (Group B), Yingze Obstetrics and Gynecology Hospital (C Group), Yingze District Haozhuang Town Hospital (Group D ) And modern maternity hospital (E group) hospital delivery of 7 066 cases of clinical data. Results: The rate of cesarean section in group A was 43.53%, in group B 38.65%, in group C 50.18%, in group D was 12.72% and in group E 63.72% Significance (P> 0.05). The first cesarean section of group A cesarean section indications for pregnancy complications and complications, the first cesarean section in group B and group D indications for the scar uterus, C group and E cesarean section cesarean section indications For social factors. Pregnancy complications and comorbidities were the first indications of cesarean section in group A, which had statistical significance compared with the other four groups (P <0.01). Conclusion: The cesarean section rate in Yingze District of Taiyuan City tends to the national average, and has no correlation with the grade. Cesarean section rate rise with many factors, only through the joint efforts of both doctors and patients and the whole society, a reasonable grasp of cesarean indications, in order to effectively reduce the cesarean section rate.