| 剖宫产适应证回顾性分析 |
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| 引用本文： | 邓昆芳,周世梅.剖宫产适应证回顾性分析[J].中国现代医生,2010,48(8):94-96. |
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| 作者姓名： | 邓昆芳 周世梅 |
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| 作者单位： | 1. 宜宾县计划生育服务站,四川宜宾,644600
2. 宜宾县妇幼保健院,四川宜宾,644600 |
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| 摘 要： | 目的回顾性分析剖宫产的适应证、并发症。方法回顾性分析我计划生育服务站2007年10月～2009年10月730例剖宫产的手术原因、手术并发症、新生儿Apgar评分、围生儿死亡率。结果剖宫产率为同期住站分娩(1084例)的67.3%,其中社会因素423例(57.9%),医学病理因素307例(42.1%)。在医学病理因素中胎儿窘迫93例(30.3%)、瘢痕子宫48例(15.6%)、胎膜早破42例(13.6%)、脐带绕颈35例(11.4%)、高龄初产30例(9.8%)。并发症包括切口液化延迟愈合15例(2.05%)、产后出血10例(1.4%)、切口感染1例(0.1%)、下肢静脉血栓1例(0.1%)、轻度新生儿窒息99例(13.5%)、重度新生儿窒息4例(0.5%)、新生儿死亡4例(0.5%)。结论社会因素、胎儿因素、产妇因素、医疗纠纷、医疗保险等均可导致剖宫产率增加,其中以社会因素为主要因素。剖宫产对母体及新生儿均有不良影响,且不能降低围产儿的病死率,因此降低剖宫产率关键是减少社会因素,严格掌握手术适应证,加强围生期保健,广泛宣传剖宫产的适应证和并发症,广泛开展导乐分娩或无痛分娩。
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| 关 键 词： | 剖宫产 适应证 并发症 |
Retrospective Analysis of Indications for Cesarean Section |
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| Authors: | DENG Kunfang ZHOU Shimei Yibin County Family Planning Service Station Yibin China Yibin County Maternal Child Health Hospital |
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| Institution: | DENG Kunfang1 ZHOU Shimei2 1.Yibin County Family Planning Service Station,Yibin 644600,China,2.Yibin County Maternal , Child Health Hospital |
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| Abstract: | Objective Retrospective analysis of cesarean section indications,complications.Methods Retrospective analysis of my family planning service station in October 2007~2009 years,730 cases of cesarean section in Octber because of surgery,surgical complications,neonatal Apgar score,perinatal mortality in children.Results Cesarean birth rate for the same period in living Station(1084 cases) 67.3%,in which social factors,423 cases(57.9%),medical pathology factors,307 cases42.1%),in the medical-pathological factors... |
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| Keywords: | Cesarean Indications of cesarean section Complications |
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