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目的分析罗山县中医院5年来剖产率与手术指征的变化。方法选择2006年1月至2010年12月在罗山县中医院住院进行剖宫产手术的产妇,统计本次临床研究中每年进行分娩的产妇总数、剖宫产率与阴道助产率、主要剖宫产手术指征的构成比,对剖宫产手术指征的变化与影响进行分析。结果 2006年至2010年罗山县中医院剖宫产率逐年上升,2010年较2006年显著提高,差异有统计学意义(P<0.01);同时阴道助产率逐年下降,2010年较2006年显著降低,差异有统计学意义(P<0.01)。2006、2007年,剖宫产手术指征居第1、2位的分别为胎儿窘迫、头盆不称;2010年剖宫产手术指征中社会因素成为第1位,胎儿窘迫下降至第2位。结论在围生期对产妇进行健康的产前教育具有重要的科学意义,在提升产妇分娩不良兴趣抗力的基础上,积极进行合并症与并发症的防治,严格掌握剖宫产手术指征。
Objective To analyze the changes of the rate of incision and surgical indications in Luoshan Hospital of Traditional Chinese Medicine in the past 5 years. Methods Maternal age at cesarean section in Luoshan Hospital of Traditional Chinese Medicine from January 2006 to December 2010 was selected. The total number of maternity, cesarean section and vaginal delivery in this clinical study was calculated. The main The constituent ratio of cesarean section indications, analysis of changes and effects of cesarean section indications. Results The rate of cesarean section in Luoshan Hospital of Traditional Chinese Medicine increased from 2006 to 2010, and increased significantly from 2010 to 2006 (P <0.01). At the same time, the rate of vaginal delivery decreased year by year, Significantly reduced, the difference was statistically significant (P <0.01). In 2006 and 2007, the first and second cesarean section indications were fetal distress and cephalopelvic disproportion. In 2010, the social factors of cesarean section operation became No. 1 and fetal distress dropped to No. 2 Bit. Conclusions It is of scientific significance to carry out healthy prenatal education in perinatal period. On the basis of improving the adverse resistance and resistance of delivery, we should actively prevent and treat complications and complications and strictly control the indication of cesarean section.