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目的分析剖宫产率及剖宫产指征的变化,探讨剖宫产率与围生儿病死率的关系。方法对我院2000年～2009年的分娩方式、剖宫产指征变化及围生儿病死率进行回顾性分析。结果剖宫产率呈逐年上升趋势;新生儿窒息率下降一定程度后趋于稳定,围生儿病死率趋于稳定。剖宫产指征中,社会因素和妊娠并发症占剖宫产指征的50%左右。结论剖宫产率的升高是多因素综合作用的结果。剖宫产率的上升一定程度上降低了围生儿病死率;但随着剖宫产率的继续上升,围生儿病死率并未继续下降,严格且不失时机地掌握剖宫产指征非常必要。
Objective To analyze the changes of cesarean section rate and indication of cesarean section and to explore the relationship between cesarean section rate and perinatal mortality rate. Methods of our hospital from 2000 to 2009 mode of delivery, cesarean section indication changes and perinatal mortality were retrospectively analyzed. Results The rate of cesarean section showed an upward trend year by year. After the neonatal asphyxia rate decreased to a certain extent, the cesarean section tended to be stable and the perinatal mortality rate tended to be stable. Cesarean indications, social factors and pregnancy complications accounted for about 50% of cesarean indications. Conclusion The increase of cesarean section rate is the result of multifactorial combination. Cesarean section rate increased to some extent reduce the perinatal mortality; but with the cesarean section rate continues to rise, the perinatal mortality does not continue to decline, strictly and seize the opportunity to cesarean indications is necessary .