剖腹产率增高的临床分析∗

摘要

Objective:To study the changes of three years of caesarean section rate and indications of the hospital,providing the basis for the development of feasible measure control.Methods:Medical records of 1309 ca-ses of caesarean section in 8683 cases that delivery in the hospital between 2012 and 2014 were retrospectively ana-lyzed.Results:The rate of hospital caesarean section gradually increased from 2012 to 2014,the difference was sta-tistically significant(P <0.05).The change of caesarean section indications,fetal factor and social factor proportion gradually declined year by year(respectively χ2 =9.041,P =0.01 1;χ2 =7.232,P =0.027),maternal factor and ute-rus scar proportion gradually rised year by year(respectively χ2 =6.634,P =0.036;χ2 =7.071,P =0.029).Conclu-sion:Over the past three years,the overall caesarean section rate is rising.The hospital should continue to strength-en prenatal education and counseling and doctors should strictly grasp caesarean section indications,in order to effec-tively control of caesarean section rate in the scientific and reasonable range.%目的：：探讨榆林市第一医院妇产科3年间剖腹产率及剖腹产指征的变化，为制定可行的控制措施提供依据。方法：对2012~2014年期间住院分娩的8683例产妇中1309例施行剖腹产的病例资料进行回顾性分析比较。结果：2012~2014年剖腹产出现逐年上升的趋势，各年份间差异有统计学意义(P <0.05)。在剖腹产指征变化中，胎儿和社会因素比例逐年下降(P 均<0.05)，母体因素及瘢痕子宫比例逐年上升。结论：近3年本院剖腹产率总体上呈上升趋势，应继续加强产前宣教和心理咨询，严格掌握剖腹产指征，有效的把剖腹产率控制在科学、合理的范围内。