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目的为了适应飞速发展的围产医学,降低逐年增长的剖宫产率,有必要对导致剖宫产术的各种因素进行临床调查分析,以便指导临床。方法将2004-05-2009-06在廊坊市人民医院住院分娩的4 256例孕产妇分为两组,统计学分析其差异。结果胎位异常占剖宫产首位,差异有统计学意义(P<0.01);胎儿窘迫与胎膜早破两者间P<0.01,差异有统计学意义;胎儿体重过大的剖宫产率明显高于阴道产组(P<0.01);脐带异常两组间差异无统计学意义(P>0.05)。结论导致剖宫产诸因素的临床调查分析指导临床决定剖宫产指征。
Objective In order to adapt to the rapid development of perinatal medicine and reduce the annual growth rate of cesarean section, it is necessary to carry out clinical investigation and analysis of various factors leading to cesarean section in order to guide clinical. Methods A total of 4 256 pregnant women, who were hospitalized in Langfang People’s Hospital from May 2004 to June 2009, were divided into two groups. The differences were statistically analyzed. Results Fetal anomalies accounted for the top of cesarean section, the difference was statistically significant (P <0.01); fetal distress and premature rupture of membranes between the two P <0.01, the difference was statistically significant; cesarean section was significantly overweight (P <0.01). There was no significant difference between the two groups in umbilical cord abnormality (P> 0.05). Conclusions The clinical investigation and analysis leading to various factors of cesarean section guide the clinical decision of cesarean section indications.