目的:探讨西宁地区无痛分娩对降低社会因素剖宫产率的影响。方法:分析2014年1月—2014年10月在我院住院要求阴道分娩且符合阴道分娩要求的产妇681例,根据个人意愿随机分为观察组无痛分娩和对照组常规分娩,其中观察组实施无痛分娩,对照组实施常规分娩方式。比较两组产妇的总剖宫产率、社会因素及医学因素剖宫产率。结果:观察组和对照组两组产妇总剖宫产率分别为36.36%、69.14%,两组对比,观察组明显优于对照组(P<0.05)。采用无痛分娩镇痛的剖宫产率低,特别降低了社会因素的剖宫产率。结论:实施无痛分娩,可显著降低剖宫产率,无痛分娩是降低当前剖宫产率首选方法,值得临床广泛应用。 Objective: To investigate the effect of painless childbirth on reducing cesarean section rate in social factors in Xining. Methods: From January 2014 to October 2014, 681 pregnant women who were admitted to our hospital for vaginal delivery and met the requirements of vaginal delivery were randomly divided into painless childbirth and normal childbirth in the observation group according to their own wishes. The observation group Painless childbirth, the control group to implement conventional mode of delivery. Cesarean section rates, social factors and cesarean section rates were compared between the two groups. Results: The total cesarean section rates of the two groups were 36.36% and 69.14% respectively in the observation group and the control group. The observation group was significantly better than the control group (P <0.05). Cesarean section with painless labor analgesia is a low rate of cesarean section with social factors. Conclusion: The painless delivery can significantly reduce the rate of cesarean section, painless delivery is the preferred method to reduce the current rate of cesarean section, it is widely used in clinical.