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目的:探讨影响剖宫产率及剖宫产指征的社会因素。方法:回顾性分析吉林大学第二医院产科2000~2008年各年剖宫产率变化情况。从1990年、1995年、2001年、2004年、2008年各抽查200份病例,对各年的剖宫产指征进行比较。结果:2000~2008年吉林大学第二医院剖宫产率呈上升趋势。近20年来吉林大学第二医院剖宫产指征中头盆因素所占比例逐年下降,因社会因素行剖宫产者所占比例居剖宫产指征的首位。结论:目前,较高的剖宫产率与社会因素密切相关。
Objectives: To explore the social factors that influence cesarean section rate and cesarean section indications. Methods: A retrospective analysis of the Second Hospital of Jilin University obstetrics from 2000 to 2008 changes in cesarean section rate. From 1990, 1995, 2001, 2004 and 2008, 200 cases were randomly selected to compare the cesarean indications in different years. Results: From 2000 to 2008, the cesarean section rate of the Second Hospital of Jilin University was on the rise. The incidence of cesarean section in the second hospital of Jilin University in the past 20 years has been declining year by year. The proportion of cesarean section due to social factors is the highest in cesarean section indications. Conclusion: At present, the high cesarean section rate is closely related to social factors.