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目的 :探讨剖宫产率及剖宫产指征的变化和对围生儿病死率的影响。方法 :对 6年间剖宫产病例资料进行回顾性分析。结果 :①剖宫产率逐年上升 ;②在剖宫产指征中 ,难产因素始终处于第一位 ,胎儿窘迫、妊娠合并病 (并发症 )处在第 2、3位 ,社会因素逐年上升 ;③围产儿病死率趋于稳定。结论 :剖宫产率升高 ,在一定范围内降低了围生儿病死率 ,但随着剖宫产率的进一步升高 ,围生儿病死率并未随之下降。因此 ,应合理掌握剖宫产指征 ,降低剖宫产率。
Objective: To investigate the changes of cesarean section rate and indications of cesarean section and the impact on perinatal mortality. Methods: The data of cesarean section in 6 years were retrospectively analyzed. Results: ① The rate of cesarean section increased year by year; ② In the indications of cesarean section, the cause of dystocia was always in the first place. Fetal distress and pregnancy complications (complication) were in the second and third place. Social factors increased year by year; ③ perinatal mortality tends to be stable. CONCLUSIONS: Cesarean section rate increases, reducing perinatal mortality in a certain range, but with the further increase of cesarean section rate, perinatal mortality did not decline. Therefore, cesarean section indications should be reasonable to reduce the cesarean section rate.