剖宫产率及剖宫产指征的变迁分析
发生率,,剖宫产；,发生率；,指征,1资料与方法,2结果,3讨论,参考文献：
摘要： 目的： 探讨剖宫产率及剖宫产指征的变化，分析剖宫产率居高不下的原因。方法： 对1997年1月~2000年12月在我院分娩的6 808例产妇的资料进行回顾性分析，统计分析剖宫产率的变迁和手术指征的构成，以及汉族与少数民族间两指标的异同。结果： 1997~2000年剖宫产率较前几年逐年下降，但仍高达50%以上。首位剖宫产指征——胎儿窘迫存在过度诊断等是剖宫产率居高不下的原因，汉族产妇因社会因素行剖宫产亦占一定比例。结论： 加强孕产期监护和产程观察，严格掌握剖宫产指征，可有效降低剖宫产率。关键词： 剖宫产； 发生率； 指征
Analyze the change of Cesarean section rate and indication
Qiaola, ZHU Qiyin, GENG Lihong, et al
(Department of Obstetrics, First Affiliated Hospital, Xinjiang Medical University,Urumqi 830000, China)
Abstract: Objective: To probe into the reason of standing high of cesarean section (Csection) rate. Methods: A retrospective analysis was performed in 6 808 cases pregnancy women between Jan 1997 and Dec 2000 in our hospital. The change of Csection rate and the operation indication, as well as the index point difference between Han nationality and minorities were analysed. Results: Premier indication of CsectionFetal distress was exorbitant diagnosed which is main reason of standing high rate of Csection, along with social factor account for a certain extent proportion in the Han nationality. Conclusions: Reinforce the surveillance of gestation and confinement period as well as the observation of labor stage and in control of Csection indication strictly might hopefully decrease the rate of Csection. ......
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