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剖宫产率升高原因探讨
引用本文:杨宗梅,谢桂芝,张缝丽,付宏.剖宫产率升高原因探讨[J].大理学院学报,2008,7(4):18-20.
作者姓名:杨宗梅  谢桂芝  张缝丽  付宏
作者单位:大理学院非直属附属医院妇产科,云南,大理,671000
摘    要:目的:探讨剖宫产率增高的原因及降低剖宫产率的对策。方法:回顾性分析1990年至2005年间住院分娩产妇11921人次分娩方式及新生儿结局。结果:剖宫产率一直呈快速上升趋势。上升原因既有社会原因,也有医源性原因。过度剖宫产并不降低新生儿窒息及新生儿死亡率的发生。结论:科学严密的产程监护才是降低新生儿窒息和新生儿死亡的关键所在。剖宫产应有循证医学指征。

关 键 词:剖宫产率  剖宫产指征  社会因素
文章编号:1672-2345(2008)04-0018-02
修稿时间:2007年11月30

Analysis of the Reasons of the Increase of Cesarean Section
YANG Zong-Mei,XIE Gui-Zhi,ZHANG Feng-li,FU Hong.Analysis of the Reasons of the Increase of Cesarean Section[J].Journal of Dali University,2008,7(4):18-20.
Authors:YANG Zong-Mei  XIE Gui-Zhi  ZHANG Feng-li  FU Hong
Institution:(Department of Obstetrics, Indirect Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
Abstract:Objective:To explore the reasons of the increase of cesarean section and provide countermeasures to reduce it.Method:11921 cases were analyzed,including their delivery methods and the conditions of the neonates in the past 16 years from 1990 to 2005.Results:Cesarean section rate was on a rapid rise,from 11.32 % in 1990 to 50.72% in 2000.There were both social and iatrogenic reasons.Conclusion:Over cesarean section could not reduce the rate of asphyxia neonatorum and neonatal mortality.So cesarean section should be performed according to the clinical indications.
Keywords:cesarean section rate  indication of cesarean section  social factor
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