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目的:探讨近年来剖宫产率增高的原因,分析剖宫产各项指征的变迁,以及对围生儿病死率的影响。方法:对2002年1月-2007年12月舞钢市相邻2家医院所有剖宫产病例进行统计分析,每2年为1组。结果:剖宫产率逐年上升,且每2组比较,差异均有统计学意义(P<0.01);剖宫产指征变迁中,社会因素逐年升高,差异有统计学意义(P<0.01),而难产、胎儿窘迫逐年下降,但仍高居第2、3位;围生儿病死率趋于稳定。结论:剖宫产率升高主要为社会因素剖宫产术增加所致,降低剖宫产率的关键应尽量减少因社会因素而行的剖宫产术;剖宫产率升高,一定范围内可降低围生儿病死率,但随着剖宫产率的进一步升高,围生儿病死率并未随之下降。
Objective: To investigate the causes of increased cesarean section rate in recent years, analyze the changes of cesarean section indications, and the impact on perinatal mortality. Methods: From January 2002 to December 2007, two cases of cesarean section in two adjacent hospitals in Wugang city were analyzed statistically, and the results were analyzed every two years in one group. Results: The rate of cesarean section increased year by year, and the difference was statistically significant in every two groups (P <0.01). In the change of indication of cesarean section, the social factors increased year by year with significant difference (P <0.01 ), While the number of dystocia and fetal distress decreased year by year, but still ranked second and third place. The perinatal mortality tended to be stable. Conclusions: The increase of cesarean section rate is mainly due to the increase of cesarean section due to social factors. The key to reduce the rate of cesarean section should be to minimize cesarean section due to social factors. The rate of cesarean section increase, a certain range Perinatal mortality can be reduced, but with the further increase in cesarean section rate, perinatal mortality did not decline.