CAJ | 학술논문

目的：探讨剖宫产率和剖宫产指证的变化，分析其合理性。方法回顾性分析上海市奉城医院2008年1月-2012年12月4138例剖宫产的临床资料。结果剖宫产率平均50.84%，在剖宫产指证中，社会因素位居第一，占23.56%，疤痕子宫位居第二，占22.63%。其次为头盆因素、胎儿因素、胎儿窘迫、母亲因素等。结论剖宫产率居高不仅是医学问题，还是社会问题。只有医患双方、社会共同努力才能降低剖宫产率。
목적：탐토부궁산솔화부궁산지증적변화，분석기합이성。방법회고성분석상해시봉성의원2008년1월-2012년12월4138례부궁산적림상자료。결과부궁산솔평균50.84%，재부궁산지증중，사회인소위거제일，점23.56%，파흔자궁위거제이，점22.63%。기차위두분인소、태인인소、태인군박、모친인소등。결론부궁산솔거고불부시의학문제，환시사회문제。지유의환쌍방、사회공동노력재능강저부궁산솔。
Objective To investigate the change of rate of cesarean section and its indication, analyze its rationality. Methods retrospective analysis from 2008 to 2012 in Shanghai Fengcheng Hospital in 4138 cases of cesarean section of the clinical data. Results the rate of cesarean section with an average of 50.84%, in the cesarean section indications, social factors ranked first, accounting for 23.56%, scar uterus was second, accounted for 22.63%. Then head basin factors, fetal factors, fetal distress, maternal factors etc..Conclusion the cesarean section rate high is not only a medical problem, or a social problem. Only both doctors and patients, efforts to reduce the rate of cesarean section.