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目的:剖析近10年来剖宫产率逐年上升的影响因素,为合理控制剖宫产率提供资料。方法:对1998年1月~2007年12月松原市中心医院所有剖宫产病例的手术指征变化进行回顾性分析。结果:①剖宫产主要手术指征有明显的变化,剖宫产构成比下降的指征有产程异常、瘢痕子宫、骨盆狭窄、妊娠并发症;无明显变化的是相对头盆不称和胎位异常;有明显升高的是胎儿宫内窘迫、妊娠合并症、巨大儿、社会因素。②剖宫产率呈逐年递增式上升,难产率呈逐年下降趋势。结论:剖宫产率的上升与时代的发展和社会因素密切相关。
Objective: To analyze the influencing factors of cesarean section rate increasing year by year in the past 10 years, and to provide information for reasonable control of cesarean section rate. Methods: A retrospective analysis was performed on the changes of surgical indications for all cases of cesarean section in Songyuan Central Hospital from January 1998 to December 2007. Results: ① The main surgical indications of cesarean section were significantly changed. The cesarean section was lower than that of the control group in terms of labor abnormalities, scar uterus, pelvic stenosis and pregnancy complications. Abnormal; there is a clear increase in fetal distress, pregnancy complications, macrosomia, social factors. ② cesarean section rate increased year by year, the rate of dysthymia showed a downward trend year by year. Conclusion: The rising rate of cesarean section is closely related to the development of the times and social factors.