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本研究分两期(I期:1978～1979年,Ⅱ期:1980～1981年)对急症剖宫产进行回顾性分析,旨在确定临产及分娩中实行24小时监护制对急症剖宫产率是否有影响。1980年以来,监护人员留住产区指导住院医师对病人进行每周7天每天24小时监护。1980年以前,监护人员每周一至五7∶01～17∶00点在院,17∶01～第二天7∶00点及周六、日在家值班。本文仅包括急症剖宫产,指征有难产、先露异常、胎儿窘迫、产前出血(胎盘早剥、前置胎盘)、母体合并症(高血压、糖尿病等)、先期破膜及不易明确分类者。按每天不同时间分析手术指征的分布(00∶00～7∶00点,7∶01～17∶00点,17∶01～24∶00点)。最后将监护人员按其留住年度分4组,研究各组间手术指征是否不同。
The purpose of this study was to conduct a retrospective analysis of emergency cesarean section in two phases (stage I: 1978-1979, stage II: 1980-1981) to determine if a 24-hour guardianship during labor and childbirth would affect the rate of cesarean section Is there any impact? Since 1980, guardians have been detained in the producing areas to instruct residents to take patients 24 hours a day, seven days a week. Before 1980, the guardians were in the hospital from Monday to Friday from 7:01 to 17:00, at home from 17:01 to 7:00 the next day and on Saturdays and Sundays. This article includes only emergency cesarean section, indications of dystocia, abnormal forearms, fetal distress, prenatal bleeding (placental abruption, placenta previa), maternal complications (hypertension, diabetes, etc.) Category. According to the distribution of surgical indications at different times of day (00:00 ~ 7:00, 7:01 ~ 17:00, 17:01 ~ 24:00). Finally, the guardian will be divided into 4 groups according to their retention years to study whether the surgical indications among the groups are different.