CAJ | 학술논문

目的：探讨基层医院剖宫产率逐年增高的原因,综合分析其手术指征,采取干预措施,降低剖宫产率。方法：选择2000年1月至2009年12月在我院住院分娩的6 757例产妇,对其分娩方式及其剖宫产手术指征进行回顾性分析。结果：10年间剖宫产率逐年上升,由2000年的8.47%上升至2009年的42.37%,在剖宫产指征中,难产与胎儿宫内窘迫居首位原因,其次为社会因素和医源性因素。结论：加强孕期保健,加强产时产程监护,合理掌握剖宫产手术指征,是降低剖宫产率的重要措施。
목적：탐토기층의원부궁산솔축년증고적원인,종합분석기수술지정,채취간예조시,강저부궁산솔。방법：선택2000년1월지2009년12월재아원주원분면적6 757례산부,대기분면방식급기부궁산수술지정진행회고성분석。결과：10년간부궁산솔축년상승,유2000년적8.47%상승지2009년적42.37%,재부궁산지정중,난산여태인궁내군박거수위원인,기차위사회인소화의원성인소。결론：가강잉기보건,가강산시산정감호,합리장악부궁산수술지정,시강저부궁산솔적중요조시。
Objective： To explore the reason why cesarean delivery in primary hospital increased year by year and to analyze the surgical indications comprehensively,so as to adopt measures of reducing the rate of cesarean delivery.Methods： A retrospective analysis of the delivery mode and the surgical indications of cesarean delivery among 6 757 cases from January 2000 to December 2009 was made.Results：The rate of cesarean delivery was rising year by year during 10 years,from 8.47% in 2000 to 42.37% in 2009.As for the indications cesarean delivery,the main reasons are the dystocia and the fetal distress;the secondary reasons are the social factors and the iatrogenic factors.Conclusion： The main measures to reduce the rate of cesarean section are enhancement of prenatal care and perilabor monitoring,and correct handling of indications for caesarian section.