2009~2014年剖宫产率及剖宫产指征变化的临床分析

发布时间：2018-02-28 00:59

本文关键词： 剖宫产率剖宫产指征社会因素　出处：《中国临床医生杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的分析剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的有效措施和方法。方法回顾性分析14 365例剖宫产病例的临床资料,同时对比各年度的剖宫产指征及构成比,围产儿死亡情况。剖宫产率随年份的变化趋势采用Cochran-Armitage趋势检验。结果 2009~2014年本院剖宫产数分别为2009年2181例(53.12%),2010年2183例(51.08%),2011年2624例(47.03%),2012年2858例(46.23%),2013年2250例(42.36%),2014年2269例(34.78%),呈逐年降低趋势,差异有显著性(Ptrend0.0001)。2009~2014年本院剖宫产指征以难产为第1位。剖宫产史和臀位的剖宫产指征呈上升趋势,而社会因素的剖宫产指征呈下降趋势(均Ptrend0.0001)。结论剖宫产率降低的主要原因是以社会因素为指征的剖宫产手术减少所致,降低剖宫产率的关键是严格掌握剖宫产手术指征,尽量减少因社会因素而行的剖宫产手术。
[Abstract]:Objective to analyze the changes of cesarean section rate and indications of cesarean section, and to explore the effective measures and methods to reduce the rate of cesarean section. Methods the clinical data of 14 365 cases of cesarean section were analyzed retrospectively, and the indications and composition of cesarean section in each year were compared. Perinatal mortality. The change trend of cesarean section rate with year was examined by Cochran-Armitage trend test. Results the number of cesarean sections in our hospital from 2009 to 2014 was 2181 cases in 2009, 51.08% in 2010, 2183 cases in 2010, 47.035 in 2010, 2858 cases in 2010, 42.36T in #date2 250 cases, 34.7878% in #date6 # 2269 cases, which showed a decreasing trend year by year. From 2009 to 2014, the first indication of cesarean section in our hospital was dystocia. The history of cesarean section and the indication of cesarean section in breech position were on the rise. But the indications of cesarean section of social factors showed a downward trend (all Ptrend0.0001). Conclusion the main reason of the decrease of cesarean section rate is the decrease of cesarean section operation indicated by social factors. The key to reduce the rate of cesarean section is to strictly grasp the indication of cesarean section. Try to reduce the number of caesarean sections due to social factors.
【作者单位】：北京市顺义区妇幼保健院;
【分类号】：R719.8

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