摘要
目的:分析剖宫产率逐步升高的原因,寻求切实可行的降低剖宫产率措施。方法:回顾性分析2010年1月至2012年1月湖北科技学院附属第二医院住院分娩的1 968例产妇病例资料,将剖宫产病例分为有医学指征性剖宫产组和无医学指征性剖宫产组进行统计分析。结果:1 968例病例中剖宫产1 005例,占51.07%。其中有医学指征性剖宫产322例,占剖宫产病例中的32.04%(322/1 005);无医学指征性剖宫产683例,占剖宫产病例中的67.96%(683/1 005),两组比较有显著性差异(P<0.01)。而有医学指征性剖宫产占总分娩病例的16.37%(322/1 968)。结论:无医学指征性剖宫产是导致剖宫产率居高不下的主要原因,降低剖宫产率必须加强卫生部门的管理及社会宣传教育。为了改善孕产妇和围生期结局以及节省开支,应该只有在有医学指征时施行剖宫产。
Objective：To analyze the reasons of the gradually increased cesarean section rate,so as to seek feasible measures to reduce the rate of cesarean section.Methods：A retrospective analysis was used in 1 968 childbirth cases from the second hospital affiliated to Hubei institute of science and technology during 2010 January to 2012 January.All cesarean section cases were divided into two statistical groups,one with and another without medical indication of cesarean section.Results：1 005 cases out of 1 968 were performed by cesarean section,which accounted for 51.07%.322 out of the 1 005 cases possessed medical indication of cesarean section,which accounted for 32.04%（322 / 1005）;the rest 683 of the 1 005 cases without medical indication of cesarean section accounted for 67.96%（683 / 1 005）.There were significant differences between two groups（P 0.01）.Among the total 1 968 cases,the cesarean section cases with medical indication accounted for 16.37%（32/1 968）.Conclusion：The cesarean section without medical indication was the main reason of the gradually increased cesarean section rate.In order to reduce the rate of cesarean section,the management of the health sector so as to social publicity and education must be strengthened.Cesarean section should only be dong on whom with medical indication to improve outcomes of maternal and perinatal and save money.
出处
《中国医药导刊》
2013年第5期740-741,共2页
Chinese Journal of Medicinal Guide
基金
湖北省科技厅2006ABA331
教育厅重点项目D200528005
卫生厅指导项目(2005Jx2c41)
关键词
剖宫产率
相关因素
措施
Cesarean section rate
Related factors
Measures
