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目的探讨10年间密云县妇幼保健院剖宫产率及剖宫产指征的变迁以及与新生儿窒息的关系。方法对10年间剖宫产病历资料分为前后两组(1997-2001年和2002-2006年)进行回顾性分析。结果1997-2001年平均剖宫产率38.5%,而2002-2006年平均剖宫产率达44.6%,二者相比,差异有显著性(P<0.01)。剖宫产指征中胎儿窘迫一直居于首位,社会因素上升到第二位。两组的新生儿窒息率分别为2.40%和2.36%,两者比较差异无显著性(P>0.05)。结论胎儿窘迫的过度诊断和社会因素在一定程度上增加了剖宫产率,但新生儿窒息率并未下降。提高对剖宫产的认识,降低剖宫产率。
Objective To investigate the changes of cesarean section rate and indication of cesarean section in Miyun MCH hospital during the past 10 years and its relationship with neonatal asphyxia. Methods The 10-year cesarean section records were divided into two groups (1997-2001 and 2002-2006) for retrospective analysis. Results The average rate of cesarean section in 1997-2001 was 38.5%, while the average rate of cesarean section in 2002-2006 was 44.6%. There was a significant difference between the two (P <0.01). Cesarean indications fetal distress has been living in the first place, social factors rose to second place. Neonatal asphyxia rates were 2.40% and 2.36% in both groups, with no significant difference between the two groups (P> 0.05). Conclusion Excessive diagnosis of fetal distress and social factors to some extent, increased cesarean section rate, but neonatal asphyxia did not decline. Improve awareness of cesarean section, reduce cesarean section rate.