南充市孕妇剖宫产率及指征变化的临床分析

目的:探讨1995年1月至2004年12月在我院分娩者的剖宫产率及指征的变化.方法:回顾分析10年来剖宫产病例的临床资料.结果:剖宫产率逐年升高,1995～1999年为20.13%,2000～2004年上升至39.67%,1999年以前,剖宫产指征以胎儿宫内窘迫为第1位,难产为第2位;1999年以后,社会、精神因素跃为首位,胎儿宫内窘迫次之.结论:剖宫产率上升的主要原因是无医学指征行剖宫产术增加所致,与医患双方有关,降低手术率的关键是减少社会因素和精神因素导致的剖宫产，并严格掌握手术指征.

CLINICAL ANALYSIS OF RATE OF CESAREAN SECTION AND ITS OPERATIVE INDICATIONS

Objective: To summarize the rate of cesarean section and its operative indications in cases handled from Jan 1995 to Dec 2004 in our hospital.Methods: The clinical data of the gravidas who received cesarean sections in the past 10 years were studied retrospectively.Results: The rate of cesarean section was found on the increase year by year.While it was 20.13% during the period from 1995 to 1999,the rate increased up to 39.67% during the time from 2000 to 2004.Before 1999 the most common indication for cesarean section was dystocia,but after 1999 the social and mental factors became the top reasons for the operation.Conclusion: The increasing rate of cesarean section results mainly from social and mental factors and not from operative indications.Both doctors and patients are related to the increased rate.So,the key to reducing the rate of cesarean section is to observe strictly the operative indication and to decrease operations caused by social and mental factors.