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目的:分析2006年1月～2010年12月昆明市延安医院妇产科剖宫产率的变化,探讨合理掌握剖宫产指征以及降低剖宫产率的方法。方法:对2006年1月～2010年12月昆明市延安医院妇产科收治的10 612例产妇的剖宫产率及剖宫产指征进行统计分析。结果:2006年1月～2010年12月,剖宫产率呈整体下降趋势。2006、2007、2008年的剖产率分别为72.6%、72.4%、71.9%,与2010年的剖宫产率(47.8%)比较,差异有统计学意义(P<0.01)。剖宫产各因素所占比例发生了明显变化。2006、2007、2008年社会因素剖宫产构成比分别为21.7%、22.8%、37.0%,位居第一,2010年是妊娠并发症构成比位居第一(19.5%)。结论:降低剖宫产率的关键是严格掌握剖宫产指征,尽量减少人为因素的剖宫产。
Objective: To analyze the change of cesarean section rate of obstetrics and gynecology department in Yan’an Hospital of Kunming from January 2006 to December 2010, and to explore the method of judging the indications of cesarean section and reducing the cesarean section rate reasonably. Methods: The cesarean section rate and cesarean section indications of 10 612 maternal women admitted to Yan’an Hospital of Kunming from January 2006 to December 2010 were analyzed statistically. Results: From January 2006 to December 2010, the rate of cesarean section showed an overall downward trend. The rates of childbirth in 2006, 2007 and 2008 were 72.6%, 72.4% and 71.9%, respectively, which were significantly different from those of cesarean section in 2010 (47.8%) (P <0.01). The proportion of cesarean section has changed significantly. The social factors of cesarean section in 2006, 2007 and 2008 were 21.7%, 22.8% and 37.0%, respectively. The highest complication ratio in pregnancy was in 2010 (19.5%). Conclusion: The key to reduce the rate of cesarean section is to strictly grasp the indications of cesarean section, minimize cesarean section of human factors.