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目的分析剖宫产率升高的原因、指征的变迁及剖宫产合理应用情况。方法采用回顾性分析的方法,对1996～2005年共1915例在本院产科住院分娩的剖宫产病例进行分析。结果剖宫产率不断升高及剖宫产各因素所占的比例发生了明显变化,难产、胎儿窘迫、妊娠并发(合并)症、臀位、社会因素成为剖宫产的主要指征。结论提高产科医生的技术水平,加强围产期及孕产期保健和监护,重视产程观察,防治产科并发症,提高产科及新生儿医学质量,正确掌握剖宫产指征,在一定程度上可降低剖宫产率。
Objective To analyze the causes of cesarean section rate increase, the changes of indications and the rational application of cesarean section. Methods A retrospective analysis of a total of 1915 cases of cesarean section hospitalized in our hospital from 1996 to 2005 were analyzed. Results The incidence of cesarean section was rising and the proportion of various factors of cesarean section changed obviously. Dystrophy, fetal distress, pregnancy complicating syndrome, breech and social factors were the main indications of cesarean section. Conclusion To improve the technical level of obstetricians, strengthen perinatal and maternal health care and custody, emphasis on labor observation, prevention and treatment of obstetric complications, improve the quality of obstetric and neonatal medicine, correct grasp of cesarean indications, to some extent Reduce cesarean section rate.