陕西医学杂志
陝西醫學雜誌
협서의학잡지
SHAANXI MEDICAL JOURNAL
2015年
8期
996-997
,共2页
剖腹产术%临床分析
剖腹產術%臨床分析
부복산술%림상분석
Cesarean section%Clinical analysis
目的：：探讨榆林市第一医院妇产科3年间剖腹产率及剖腹产指征的变化，为制定可行的控制措施提供依据。方法：对2012~2014年期间住院分娩的8683例产妇中1309例施行剖腹产的病例资料进行回顾性分析比较。结果：2012~2014年剖腹产出现逐年上升的趋势，各年份间差异有统计学意义(P <0.05)。在剖腹产指征变化中，胎儿和社会因素比例逐年下降(P 均<0.05)，母体因素及瘢痕子宫比例逐年上升。结论：近3年本院剖腹产率总体上呈上升趋势，应继续加强产前宣教和心理咨询，严格掌握剖腹产指征，有效的把剖腹产率控制在科学、合理的范围内。
目的：：探討榆林市第一醫院婦產科3年間剖腹產率及剖腹產指徵的變化，為製定可行的控製措施提供依據。方法：對2012~2014年期間住院分娩的8683例產婦中1309例施行剖腹產的病例資料進行迴顧性分析比較。結果：2012~2014年剖腹產齣現逐年上升的趨勢，各年份間差異有統計學意義(P <0.05)。在剖腹產指徵變化中，胎兒和社會因素比例逐年下降(P 均<0.05)，母體因素及瘢痕子宮比例逐年上升。結論：近3年本院剖腹產率總體上呈上升趨勢，應繼續加彊產前宣教和心理咨詢，嚴格掌握剖腹產指徵，有效的把剖腹產率控製在科學、閤理的範圍內。
목적：：탐토유림시제일의원부산과3년간부복산솔급부복산지정적변화，위제정가행적공제조시제공의거。방법：대2012~2014년기간주원분면적8683례산부중1309례시행부복산적병례자료진행회고성분석비교。결과：2012~2014년부복산출현축년상승적추세，각년빈간차이유통계학의의(P <0.05)。재부복산지정변화중，태인화사회인소비례축년하강(P 균<0.05)，모체인소급반흔자궁비례축년상승。결론：근3년본원부복산솔총체상정상승추세，응계속가강산전선교화심리자순，엄격장악부복산지정，유효적파부복산솔공제재과학、합리적범위내。
Objective:To study the changes of three years of caesarean section rate and indications of the hospital,providing the basis for the development of feasible measure control.Methods:Medical records of 1309 ca-ses of caesarean section in 8683 cases that delivery in the hospital between 2012 and 2014 were retrospectively ana-lyzed.Results:The rate of hospital caesarean section gradually increased from 2012 to 2014,the difference was sta-tistically significant(P <0.05).The change of caesarean section indications,fetal factor and social factor proportion gradually declined year by year(respectively χ2 =9.041,P =0.01 1;χ2 =7.232,P =0.027),maternal factor and ute-rus scar proportion gradually rised year by year(respectively χ2 =6.634,P =0.036;χ2 =7.071,P =0.029).Conclu-sion:Over the past three years,the overall caesarean section rate is rising.The hospital should continue to strength-en prenatal education and counseling and doctors should strictly grasp caesarean section indications,in order to effec-tively control of caesarean section rate in the scientific and reasonable range.
