2010-2014年湖南省剖宫产现况分析及对策

摘要

Objective To analyze the prevalence of caesarean section(CS) in Hunan province from 2010 to 2014 and provide some references for formulating control strategies of CS.Methods Descriptive study was used to analyze the prevalence of CS in Hunan province from 2010 to 2014.Results Overall,the CS rate of Hunan province was stable,with a range from 40.00％ to 42.11％.The CS rate was also stable in some areas where health and human resources are adequate,but the CS rate trended to increase in some areas where sanitation and human resources are scarce.For provincial and municipal hospitals,the CS rate was significantly decreased.Of note,for county hospitals,although there is a falling trend for the prevalence of CS,this trend is not obvious.CS rate was ranged from 40％ to 60％ for provincial and municipal hospitals,20％ to 60％ for county hospitals,0％ to 20％ for township hospitals,and 20％ to 60％ for private hospitals.Conclusions The CS rate in Hunan province has been controlled,but it is still higher than the WHO-proposed standard value.The corresponding control strategies should be strengthened for both these areas with scarce health and human resources and medical institutions with a high rate of CS.%目的 了解2010-2014年湖南省剖宫产率的状况及分布特征,为制定预防控制策略和措施提供依据.方法 描述性分析2010-2014年湖南省妇幼医院收集的湖南省各地区医院剖宫产情况.结果全省的剖宫产率较为稳定,在40.00％～42.11％之间波动;卫生资源和人力资源充足的地区剖宫产率稳定,卫生资源和人力资源稀缺的地区剖宫产率有上升趋势.省部级医院剖宫产率逐年下降最为明显;其次是市级医院;县级医院也有下降趋势,但效果不明显;省部级与市级医院剖宫产率为40％～60％;县级医院剖宫产率在20％～60％;乡级医院剖宫产率位于0％～20％;民营医院的剖宫产率在20％～60％之间.结论湖南省剖宫产率情况基本得到控制,但仍高于WHO倡议标准.应加强对卫生资源和人力资源稀缺地区的重视以及针对剖宫产率较高的机构进行重点整治.