目的:探讨剖宫产率与剖宫产指征的变化。方法:应用回顾性资料分析的方法对实施剖宫产手术的1 050例病例的手术指征进行分析。结果:剖宫产率呈逐年上升趋势,近6年变化更为明显;剖宫产指征变化中,胎儿因素、社会因素呈上升趋势,头盆因素明显下降。结论:社会因素、胎儿因素是剖宫产率提高的重要因素,合理掌握剖宫产指征,采取有效措施,可以降低剖宫产率。 Objective: To investigate the changes of cesarean section rate and indication of cesarean section. Methods: The retrospective data analysis method was used to analyze the surgical indications of 1050 cases of cesarean section. Results: The rate of cesarean section showed an upward trend year by year, and the change was more obvious in the past six years. Among the changes of cesarean section indications, the fetus factor and the social factor tended to rise, and the index of the first basin decreased significantly. Conclusion: Social factors and fetal factors are important factors in increasing the rate of cesarean section. Reasoning cesarean section indications and taking effective measures can reduce the rate of cesarean section.