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目的:探讨全人群剖宫产率升高的影响因素。方法:对2012年1月~2013年9月巩义市17所有分娩资质医院的分娩登记资料进行回顾性分析。结果:①各种类型医院剖宫产率不同,其中民营医院为54.22%,社区中心为43.90%,差异有统计学意义(P<0.01),应引起重视。②新生儿性别对剖宫产率也具有显著影响,男婴为51.28%,女婴为47.04%,差异有统计学意义(P<0.01)。③<20岁的产妇剖宫产率为34.98%,20~34岁产妇为48.79%,>34岁产妇为57.77%,随年龄递增呈明显阶梯式增长,差异有统计学意义(P<0.01)。结论:医院类型、婴儿性别、不同年龄等因素都可对剖宫产率的增长具有明显的干预作用。
Objective: To investigate the influencing factors of cesarean section rate in the whole population. Methods: The data of birth registration from 17 hospitals in Gongyi City from January 2012 to September 2013 were retrospectively analyzed. Results: ①The rate of cesarean section was different in all kinds of hospitals, among which 54.22% were in private hospitals and 43.90% in community centers, the difference was statistically significant (P <0.01). Neonatal gender also had a significant effect on cesarean section rate, with 51.28% for male and 47.04% for female, the difference was statistically significant (P <0.01). ③ The rate of cesarean section was 34.98% in 20-year-old women, 48.79% in 20-34 year-old women and 57.77% in women aged> 34 years. The difference was statistically significant (P <0.01) . Conclusion: The type of hospital, the sex of infants and different ages may have significant intervention effects on the increase of cesarean section rate.