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目的:探讨剖宫产率升高的原因,分析各项手术指征的构成比及合理性,寻找降低剖宫产率的有效方案。方法:对2006年1月-2010年12月在台州市第一人民医院行剖宫产孕妇资料进行回顾性分析。结果:剖宫产率呈逐年上升趋势,2010年与2006年相比,差异有高度显著性意义(P<0.01);胎儿窘迫、相对性头盆不称出剖宫产指征的构成比呈逐年下降趋势,而社会因素和珍贵儿占剖宫产指征的构成比呈逐年上升趋势,2010年与2006年相比,差异有显著性意义(P<0.05)。结论:剖宫产手术指征已远远超过单纯医学指征范围,孕妇和医生的主观意愿影响分娩方式的合理选择,降低剖宫产率的关键是严格控制非医学指征剖宫产,需要医患双方及全社会的共同努力。
Objective: To investigate the causes of cesarean section rate increase, analyze the constituent ratio and rationality of various surgical indications and find an effective plan to reduce the rate of cesarean section. Methods: The data of cesarean section pregnant women in Taizhou First People’s Hospital from January 2006 to December 2010 were retrospectively analyzed. Results: The rate of cesarean section showed an upward trend year by year. There was a significant difference between 2010 and 2006 (P <0.01). The fetal distress, The declining trend has been observed year by year. However, the ratio of social factors and precious cesarean section indications has been increasing year by year. The difference between 2010 and 2006 was significant (P <0.05). Conclusion: The indications of cesarean section have far exceeded the scope of simple medical indications. The subjective intention of pregnant women and doctors affects the reasonable choice of mode of delivery. The key to reduce the rate of cesarean section is to strictly control non-medical cesarean section, Both doctors and patients and the whole society work together.