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目的:探讨10 a间剖宫产指征及剖宫产率的变化。方法:对1997年190例及2007年1 021例剖宫产进行回顾性分析。结果:剖宫产率1997年24.17%,2007年41.49%;剖宫产指征中2007年和1997年比较择期剖宫产增多;因危急指征行剖宫产减少;差异有统计学意义(P<0.01)。两组术中出血量、子宫切口裂伤、术后发热天数、肛门排气时间1997年高于2007年,差异有统计学意义(P<0.05)。结论:严格掌握剖宫产指征,合理使用剖宫产可以提高产科质量。
Objective: To investigate the changes of cesarean section indications and cesarean section rate in 10 years. Methods: A retrospective analysis was performed on 190 cesarean sections in 1997 and 1021 cesarean sections in 2007. Results: The rate of cesarean section was 24.17% in 1997 and 41.49% in 2007; the incidence of cesarean section increased in 2007 and 1997 compared with that in 2007; the cesarean section was reduced due to the critical indication; the difference was statistically significant ( P <0.01). The two groups of blood loss, uterine incision laceration, postoperative fever days, anal exhaust time in 1997 was higher than in 2007, the difference was statistically significant (P <0.05). Conclusion: Strict indications of cesarean section, rational use of cesarean section can improve the quality of obstetrics.