本文選題：剖宮產(chǎn)率　切入點(diǎn)：剖宮產(chǎn)指征　出處：《中國婦產(chǎn)科臨床雜志》2015年01期

【摘要】：目的探討剖宮產(chǎn)率及剖宮產(chǎn)指征的變化和對(duì)圍產(chǎn)兒死亡率的影響,尋找降低剖宮產(chǎn)率的方法。方法回顧性總結(jié)北京市延慶縣醫(yī)院2008年1月至2012年12月住院分娩的病歷資料,分析剖宮產(chǎn)率及剖宮產(chǎn)指征變化的各項(xiàng)相關(guān)數(shù)據(jù)和圍產(chǎn)兒死亡率的關(guān)系。結(jié)果 1剖宮產(chǎn)率逐年下降[2012年剖宮產(chǎn)率(39.03%)與2008年(53.94%)相比,P0.05];2剖宮產(chǎn)指征中以社會(huì)因素為指征的剖宮產(chǎn)率通過醫(yī)護(hù)人員的努力得到了有效的控制而下降,隨著剖宮產(chǎn)率的下降,產(chǎn)程異常為指征的剖宮產(chǎn)比例增加;3圍產(chǎn)兒死亡率趨于穩(wěn)定,并未隨著剖宮產(chǎn)率的下降而升高,2012年圍產(chǎn)兒死亡率(3.17‰)與2008年(2.93‰)相比,差異無統(tǒng)計(jì)學(xué)意義(χ2=0.04,P0.05)。結(jié)論提高助產(chǎn)技術(shù)及加強(qiáng)孕期宣教,可進(jìn)一步降低剖宮產(chǎn)率。
[Abstract]:Objective to investigate the change of cesarean section rate and indications of cesarean section and its influence on perinatal mortality, and to find a way to reduce the rate of cesarean section. Methods the medical records of in-hospital delivery from January 2008 to December 2012 in Yanqing County Hospital of Beijing were retrospectively summarized. Results 1 the rate of cesarean section decreased year by year [the rate of cesarean section in 2012 was 39.03 compared with that in 2008 (P 0.05). The indicated rate of cesarean section has been effectively controlled through the efforts of health care workers. With the decrease of cesarean section rate, the perinatal mortality rate increased with abnormal cesarean section, but did not increase with the decrease of cesarean section rate. The perinatal mortality rate in 2012 was 3.17 鈥，

本文編號(hào)：1675143