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目的探讨镇痛分娩中改剖宫产的相关因素,提高镇痛分娩的成功率。方法回顾性分析西安高新医院2010-01-2010-12期间采用硬-腰联合麻醉自控式镇痛分娩孕妇495例,分析剖宫产原因。结果共有108例孕妇改剖宫产,其中持续性枕横位/枕后位占41.7%,胎儿窘迫27.8%,相对头盆不称占20.4%,巨大儿占8.3%,宫颈因素占1.8%。结论持续性枕横位/枕后位、胎儿窘迫、相对头盆不称是分娩镇痛改剖宫产的主要原因。
Objective To investigate the related factors of cesarean section in analgesia and delivery and to improve the success rate of analgesia and delivery. Methods A retrospective analysis of Xi’an High-tech Hospital 2010-01-2010-12 during the use of hard-lumbar anesthesia controlled analgesia delivery pregnant 495 women, analysis of cesarean section causes. Results A total of 108 pregnant women with cesarean section were involved in this study. Among them, persistent occipital transverse / occipitocele accounted for 41.7%, fetal distress 27.8%, relative infundibulum 20.4%, macrosomia 8.3% and cervical factor 1.8%. Conclusion Continuous occipital transverse / occipitocervical position, fetal distress, and relative cephalopelvic disproportion are the main causes of labor analgesia for cesarean section.