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[目的]剖析近6年剖宫产率逐步升高的主要影响因素,为寻求降低剖宫产率的具体措施提供依据。[方法]对2001～2006年间某院剖宫产病例的主要手术指征的构成比及主要排序的变化进行回顾性分析。[结果]①剖宫产率呈逐年上升趋势;②剖宫产主要手术指征的变迁因素:剖宫产构成比中,社会因素、羊水过少、巨大儿有显著升高;胎儿窘迫、相对头盆不称有所下降;胎位异常、剖宫产再孕、骨盆狭窄变化不大。[结论]社会因素是造成剖宫产率居高不下的主要因素,要降低社会因素造成的剖宫产率必须全社会给予大力支持。
[Objective] To analyze the main influencing factors of gradual increase of cesarean section rate in the past 6 years and provide evidence for seeking specific measures to reduce cesarean section rate. [Methods] A retrospective analysis was made on the major operative indications and their major changes in cesarean section in a hospital from 2001 to 2006. [Results] (1) The rate of cesarean section increased year by year; (2) The main factors of cesarean section indications: cesarean section ratio, social factors, oligohydramnios, macrosomia were significantly increased; fetal distress, relative No reduction in the first basin; abnormal fetal position, cesarean pregnancy, pelvic stenosis little change. [Conclusion] The social factors are the main factors that cause the high cesarean section rate. To reduce the cesarean section rate caused by social factors, we must give strong support from the whole society.