CAJ | 학술논문

目的分析近年剖宫产率及剖宫产指征变化，探讨降低剖宫产率的主要措施。方法回顾性分析本院2008～2012年的剖宫产率及剖宫产指征变化。结果近5年剖宫产率38.6％～41．2％。剖宫产指征中胎儿因素缓慢增加，居影响因素第1位；头盆因素逐年下降，但仍居第2位；母亲因素呈缓慢下降趋势；社会因素呈逐年上升趋势，其中以珍贵儿指征增加显著。结论降低剖宫产率的关键在于严格控制剖宫产指征，降低社会因素影响。
목적분석근년부궁산솔급부궁산지정변화，탐토강저부궁산솔적주요조시。방법회고성분석본원2008～2012년적부궁산솔급부궁산지정변화。결과근5년부궁산솔38.6％～41．2％。부궁산지정중태인인소완만증가，거영향인소제1위；두분인소축년하강，단잉거제2위；모친인소정완만하강추세；사회인소정축년상승추세，기중이진귀인지정증가현저。결론강저부궁산솔적관건재우엄격공제부궁산지정，강저사회인소영향。
Objective To analyze the changes of cesarean delivery rates and cesarean section indications in recent five years and discuss the main measures of reducing cesarean section rate .Mtehods Retrospective method was adopted to analyze cesarean delivery rate and changes of cesarean section indications in this hospi -tal between 2008and 2012 .Results In the last five years ,the cesarean delivery rate was varied from 38 .6%to 41 .2%.Fetal factorincreased slowly and became the first one among the cesarean section indications .Cephalo-pelvic factor declined year by year ,but still was inthe second place .Mother factors showed a trend of slow de-cline.There was an upward trend of social factors and precious fetus indications increased significantly .Con-clusion The keys to reduce the rate of cesarean delivery rate ares to strictly control the cesarean section indica-tions and reduce social factors .