【摘要】 目的:探讨榆林市第一医院妇产科3年间剖腹产率及剖腹产指征的变化,为制定可行的控制措施提供依据。方法:对2012~2014年期间住院分娩的8683例产妇中1309例施行剖腹产的病例资料进行回顾性分析比较。结果:2012~2014年剖腹产出现逐年上升的趋势,各年份间差异有统计学意义(P<0.05)。在剖腹产指征变化中,胎儿和社会因素比例逐年下降(P均<0.05),母体因素及瘢痕子宫比例逐年上升。结论:近3年本院剖腹产率总体上呈上升趋势,应继续加强产前宣教和心理咨询,严格掌握剖腹产指征,有效的把剖腹产率控制在科学、合理的范围内。更多还原

【Abstract】 Objective:To study the changes of three years of caesarean section rate and indications of the hospital,providing the basis for the development of feasible measure control.Methods:Medical records of 1309 cases of caesarean section in 8683 cases that delivery in the hospital between 2012 and 2014were retrospectively analyzed.Results:The rate of hospital caesarean section gradually increased from 2012 to 2014,the difference was statistically significant(P<0.05).The change of caesarean section indications,fetal factor and social factor proportion gradually declined year by year(respectivelyχ2=9.041,P=0.011;χ2=7.232,P=0.027),maternal factor and uterus scar proportion gradually rised year by year(respectivelyχ2=6.634,P=0.036;χ2=7.071,P=0.029).Conclusion:Over the past three years,the overall caesarean section rate is rising.The hospital should continue to strengthen prenatal education and counseling and doctors should strictly grasp caesarean section indications,in order to effectively control of caesarean section rate in the scientific and reasonable range.更多还原