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目的了解吉林地区剖宫产率,探讨与剖宫产率有关的影响因素,为有关部门制定有效的干预措施提供科学依据。方法回顾性调查2010年1月至12月期间吉林地区4个地级市8家医院产科分娩的3752例产妇的分娩信息,分析剖宫产术的影响因素和手术指征构成比。结果 2010年吉林地区医院的剖宫产率为67.24%,三级医院高于一、二级医院(76.51%vs43.36%,P<0.01)。文化程度高、经济条件好、有产科合并症、胎儿宫内窘迫、头盆不称、分娩巨大儿者,其剖宫产的可能性大(P均<0.01)。结论吉林地区剖宫产率较高,应引起重视,从多方面着手降低剖宫产率。
Objective To understand the rate of cesarean section in Jilin and to explore the influencing factors related to the rate of cesarean section so as to provide a scientific basis for the relevant departments to formulate effective intervention measures. Methods A retrospective survey was conducted on the birth information of 3,752 women giving birth during 8 months from January 2010 to December 2010 in 8 hospitals in 4 prefecture-level cities of Jilin province. The influential factors of cesarean section and the constituent ratio of operation indications were analyzed. Results In 2010, the rate of cesarean section in hospitals in Jilin Province was 67.24%. The level III hospitals were higher than those in hospitals I and II (76.51% vs 43.36%, P <0.01). High degree of education, good economic conditions, obstetric complications, fetal distress, cephalopelvic disproportion, childbirth huge children, the possibility of cesarean section (P all <0.01). Conclusion The high cesarean section rate in Jilin should pay more attention to reduce the rate of cesarean section in many aspects.